Healthcare Provider Details

I. General information

NPI: 1902944176
Provider Name (Legal Business Name): STEPHEN M. KUWENT PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 11/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 OLD HOOK RD SUITE 203
WESTWOOD NJ
07675-3246
US

IV. Provider business mailing address

354 OLD HOOK RD SUITE 203
WESTWOOD NJ
07675-3248
US

V. Phone/Fax

Practice location:
  • Phone: 201-664-2670
  • Fax: 201-664-9605
Mailing address:
  • Phone: 201-664-2670
  • Fax: 201-664-9605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3731
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: