Provider Demographics
NPI:1700451762
Name:ESPIRITU, AILENE
Entity Type:Individual
Prefix:
First Name:AILENE
Middle Name:
Last Name:ESPIRITU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 HARRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BERGENFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07621-1515
Mailing Address - Country:US
Mailing Address - Phone:201-256-5176
Mailing Address - Fax:
Practice Address - Street 1:13 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CRANBURY
Practice Address - State:NJ
Practice Address - Zip Code:08512-3255
Practice Address - Country:US
Practice Address - Phone:609-649-2425
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-22
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional