Provider Demographics
NPI:1649210980
Name:JARVIS, DENISE C (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:C
Last Name:JARVIS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 FERRY ST
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08530-1850
Mailing Address - Country:US
Mailing Address - Phone:609-397-5727
Mailing Address - Fax:609-397-5727
Practice Address - Street 1:UMDNJ, 100 METROPLEX DR,
Practice Address - Street 2:SUITE 200
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-2665
Practice Address - Country:US
Practice Address - Phone:732-235-8400
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPC0599101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health