Healthcare Provider Details

I. General information

NPI: 1386125771
Provider Name (Legal Business Name): JOSEPH PATRICK HAUGHEY III PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2018
Last Update Date: 08/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 ROUTE 33 SUITE 9/10
NEPTUNE NJ
07753
US

IV. Provider business mailing address

701 W RED BANK AVE APT R4
WEST DEPTFORD NJ
08096-4921
US

V. Phone/Fax

Practice location:
  • Phone: 732-988-3441
  • Fax: 732-988-7123
Mailing address:
  • Phone: 215-806-4839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: