Provider Demographics
NPI:1477655199
Name:DANCO, JEFFREY C (PSYD DR OF PSYCH)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:C
Last Name:DANCO
Suffix:
Gender:M
Credentials:PSYD DR OF PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1952 RT 22 EAST
Mailing Address - Street 2:AMERICAN INSTITUTE FOR COUNSELING INC
Mailing Address - City:BOUND BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:08805
Mailing Address - Country:US
Mailing Address - Phone:732-469-6444
Mailing Address - Fax:732-469-6445
Practice Address - Street 1:1952 RT 22 EAST
Practice Address - Street 2:AMERICAN INSTITUTE FOR COUNSELING INC
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805
Practice Address - Country:US
Practice Address - Phone:732-469-6444
Practice Address - Fax:732-469-6445
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2011-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI02078103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
608674Medicare ID - Type UnspecifiedPTU
R32570Medicare UPIN