Individual provider · NPI-1

Thomas Dwyer

Counselor, Mental Health · New Providence, NJ

NPI number1407272263
StatusActive
Last updated in NPPESMar 17, 2014

Details

NPI
1407272263
Entity type
Individual (NPI-1)
Name
Thomas Dwyer
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 17, 2014
Last updated
Mar 17, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health37pc00489600NJYes

Practice location

72 Floral Ave
New Providence, NJ 07974-1565

Phone 908-665-1000

Mailing address

72 Floral Ave
New Providence, NJ 07974-1565

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Counselor, Mental Health providers in New Providence, NJ