Provider Demographics
NPI:1780883744
Name:HUFF, J M (PHD)
Entity type:Individual
Prefix:
First Name:J
Middle Name:M
Last Name:HUFF
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ECSU SCHOOL OF EDUCATION AND PSYCHOLOGY
Mailing Address - Street 2:DEPARTMENT OF PSYCHOLOGY 1704 WEEKSVILLE RD.
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909
Mailing Address - Country:US
Mailing Address - Phone:252-335-3834
Mailing Address - Fax:
Practice Address - Street 1:ECSU SCHOOL OF EDUCATION AND PSYCHOLOGY
Practice Address - Street 2:DEPARTMENT OF PSYCHOLOGY 1704 WEEKSVILLE RD.
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909
Practice Address - Country:US
Practice Address - Phone:252-335-3834
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2718103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist