Provider Demographics
NPI:1871676221
Name:JOSEPH, ARTHUR BARRY (EDD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:BARRY
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 GLEN RD
Mailing Address - Street 2:
Mailing Address - City:WOODCLIFF LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07677-7616
Mailing Address - Country:US
Mailing Address - Phone:201-970-1006
Mailing Address - Fax:
Practice Address - Street 1:248 GLEN RD
Practice Address - Street 2:
Practice Address - City:WOODCLIFF LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07677-7616
Practice Address - Country:US
Practice Address - Phone:201-970-1006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-21
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100295000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ35S100295000OtherSTATE LICENSE NUMBER
NJ35S100295000OtherSTATE LICENSE NUMBER