Healthcare Provider Details

I. General information

NPI: 1376704502
Provider Name (Legal Business Name): KRISTA ZUCCHERI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2008
Last Update Date: 10/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MADISON AVE STE 400
MORRISTOWN NJ
07960-7397
US

IV. Provider business mailing address

55 MADISON AVE STE 400
MORRISTOWN NJ
07960-7397
US

V. Phone/Fax

Practice location:
  • Phone: 973-229-7034
  • Fax:
Mailing address:
  • Phone: 973-229-7034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00367300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: