Provider Demographics
NPI:1891235354
Name:MUGGEO, LOUIS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:
Last Name:MUGGEO
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 N STATE RT 17 STE 100
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2648
Mailing Address - Country:US
Mailing Address - Phone:201-264-1897
Mailing Address - Fax:
Practice Address - Street 1:95 N STATE RT 17 STE 100
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-2648
Practice Address - Country:US
Practice Address - Phone:845-398-4174
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4508103TC0700X
NY017426-1103TC0700X
PAPS019784103TC0700X
NJ5782103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical