Healthcare Provider Details

I. General information

NPI: 1770746935
Provider Name (Legal Business Name): JOAN MICHELE HESS MA, NCPSYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S LIVINGSTON AVE SECOND FLOOR
LIVINGSTON NJ
07039-3932
US

IV. Provider business mailing address

301 S LIVINGSTON AVE SECOND FLOOR
LIVINGSTON NJ
07039-3932
US

V. Phone/Fax

Practice location:
  • Phone: 201-953-0206
  • Fax: 973-629-1003
Mailing address:
  • Phone: 201-953-0206
  • Fax: 973-629-1003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number098.0048624
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: