Provider Demographics
NPI:1770746935
Name:HESS, JOAN MICHELE (MA, NCPSYA)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:MICHELE
Last Name:HESS
Suffix:
Gender:F
Credentials:MA, NCPSYA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 S LIVINGSTON AVE
Mailing Address - Street 2:SECOND FLOOR
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-3932
Mailing Address - Country:US
Mailing Address - Phone:201-953-0206
Mailing Address - Fax:973-629-1003
Practice Address - Street 1:301 S LIVINGSTON AVE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-3932
Practice Address - Country:US
Practice Address - Phone:201-953-0206
Practice Address - Fax:973-629-1003
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-08
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT098.0048624102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst