Provider Demographics
NPI:1568188407
Name:HUGER, TONDALAIA
Entity Type:Individual
Prefix:
First Name:TONDALAIA
Middle Name:
Last Name:HUGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 WOODLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:WESTHAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-3804
Mailing Address - Country:US
Mailing Address - Phone:267-410-6511
Mailing Address - Fax:
Practice Address - Street 1:770 WOODLAND ROAD
Practice Address - Street 2:
Practice Address - City:WESTHAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-3804
Practice Address - Country:US
Practice Address - Phone:267-410-6511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-12
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health