Provider Demographics
NPI:1942492350
Name:TUNIS, BETH L (MFT)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:L
Last Name:TUNIS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1571
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-7171
Mailing Address - Country:US
Mailing Address - Phone:973-363-4200
Mailing Address - Fax:
Practice Address - Street 1:6 BRANDON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1330
Practice Address - Country:US
Practice Address - Phone:973-363-4200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000891-1106H00000X
NJ37F100173400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist