Provider Demographics
NPI:1710179916
Name:KAYDA, AMY C (LPC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:C
Last Name:KAYDA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 OAK RIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2835
Mailing Address - Country:US
Mailing Address - Phone:347-489-2100
Mailing Address - Fax:
Practice Address - Street 1:57 OAK RIDGE AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-2835
Practice Address - Country:US
Practice Address - Phone:347-489-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-13
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00344500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional