Provider Demographics
NPI:1770874224
Name:HOUSEMAN, JOSHUA EVANS (PSYD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:EVANS
Last Name:HOUSEMAN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CHARLES LN
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1415
Mailing Address - Country:US
Mailing Address - Phone:215-667-0685
Mailing Address - Fax:
Practice Address - Street 1:5756 HARTFORD ST AND POINTVILLE RD
Practice Address - Street 2:
Practice Address - City:FORT DIX
Practice Address - State:NJ
Practice Address - Zip Code:08640
Practice Address - Country:US
Practice Address - Phone:609-723-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-02
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health