Provider Demographics
NPI:1508674250
Name:JEFFREY C DANCO PSYD
Entity type:Organization
Organization Name:JEFFREY C DANCO PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:DANCO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:908-642-8188
Mailing Address - Street 1:37 SHANNON RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2649
Mailing Address - Country:US
Mailing Address - Phone:908-642-8188
Mailing Address - Fax:
Practice Address - Street 1:505 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2493
Practice Address - Country:US
Practice Address - Phone:908-642-8188
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty