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NPI Code Detail

MEDICARE: MS. MARY ANN TUOHY LPC

MEDICARE: MS. MARY ANN TUOHY LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor37PC00331000NJ

General Provider Information

NPI Number : 1720135148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ANN TUOHY LPC
Provider Business Mailing Address
First Line : 42 CUPSAW AVE
Second Line :
City : RINGWOOD
State : NJ
Zip : 07456-2920
Country : US
Telephone Number : 973-865-6489
Fax Number :
Provider Business Practice Location Address
First Line : 52 SKYLINE DR
Second Line :
City : RINGWOOD
State : NJ
Zip : 07456-2020
Country : US
Telephone Number : 973-865-6489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2007
Last Update Date : 11/26/2007

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