Healthcare Provider Details

I. General information

NPI: 1780883744
Provider Name (Legal Business Name): J M HUFF PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ECSU SCHOOL OF EDUCATION AND PSYCHOLOGY DEPARTMENT OF PSYCHOLOGY 1704 WEEKSVILLE RD.
ELIZABETH CITY NC
27909
US

IV. Provider business mailing address

ECSU SCHOOL OF EDUCATION AND PSYCHOLOGY DEPARTMENT OF PSYCHOLOGY 1704 WEEKSVILLE RD.
ELIZABETH CITY NC
27909
US

V. Phone/Fax

Practice location:
  • Phone: 252-335-3834
  • Fax:
Mailing address:
  • Phone: 252-335-3834
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number2718
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: