Healthcare Provider Details

I. General information

NPI: 1538588751
Provider Name (Legal Business Name): DAVID JAMES CUOZZO LPC, LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 12/19/2023
Certification Date: 12/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 SKYLINE DR
RINGWOOD NJ
07456-2020
US

IV. Provider business mailing address

52 SKYLINE DR
RINGWOOD NJ
07456-2020
US

V. Phone/Fax

Practice location:
  • Phone: 201-312-5234
  • Fax:
Mailing address:
  • Phone: 201-312-5234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00542200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: