Provider Demographics
NPI:1134554959
Name:ZUSPAN, REBECCA HUTNER (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:HUTNER
Last Name:ZUSPAN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 W BEECHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLYN
Mailing Address - State:NJ
Mailing Address - Zip Code:08107-1419
Mailing Address - Country:US
Mailing Address - Phone:215-919-5172
Mailing Address - Fax:
Practice Address - Street 1:35 KINGS HWY E STE 103
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2009
Practice Address - Country:US
Practice Address - Phone:856-312-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0185101041C0700X
NJ44SC059355001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical