Provider Demographics
NPI:1609057678
Name:CUMMINS, FRANCIS W (MA)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:W
Last Name:CUMMINS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 WESTERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08721-2818
Mailing Address - Country:US
Mailing Address - Phone:732-269-5157
Mailing Address - Fax:
Practice Address - Street 1:335 WESTERN BLVD
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08721-2818
Practice Address - Country:US
Practice Address - Phone:732-269-5157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00262380103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool