Provider Demographics
NPI:1255441028
Name:HUCKO, PATRICIA ANNE (MA NCC LPC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:ANNE
Last Name:HUCKO
Suffix:
Gender:F
Credentials:MA NCC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 S FINLEY AVE
Mailing Address - Street 2:REAR BUILDING
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1421
Mailing Address - Country:US
Mailing Address - Phone:908-766-3199
Mailing Address - Fax:908-766-3199
Practice Address - Street 1:93 S FINLEY AVE
Practice Address - Street 2:REAR BUILDING
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1421
Practice Address - Country:US
Practice Address - Phone:908-766-3199
Practice Address - Fax:908-766-4171
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00033500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
301432547OtherUNITED BEHAVIORAL
P2488884OtherOXFORD INSURANCE
7213358OtherAETNA INSURANCE