Provider Demographics
NPI:1356544894
Name:HUBSCHMITT, DAVID W (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:W
Last Name:HUBSCHMITT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 ROUTE 46 WEST
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1820
Mailing Address - Country:US
Mailing Address - Phone:973-256-4765
Mailing Address - Fax:973-812-5242
Practice Address - Street 1:265 ROUTE 46 WEST
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-1820
Practice Address - Country:US
Practice Address - Phone:973-256-4765
Practice Address - Fax:973-812-5242
Is Sole Proprietor?:No
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00111900103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1683705Medicaid
NJHU633846Medicare ID - Type Unspecified