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NPI Code Detail

MEDICARE: JENNIFER HYSON LMFT

MEDICARE:   JENNIFER  HYSON  LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist37FI00206100NJ

General Provider Information

NPI Number : 1023715349
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER HYSON LMFT
Provider Business Mailing Address
First Line : 155 WILLOWBROOK BLVD STE 110-3721
Second Line :
City : WAYNE
State : NJ
Zip : 07470-7032
Country : US
Telephone Number : 561-324-3115
Fax Number :
Provider Business Practice Location Address
First Line : 155 WILLOWBROOK BLVD STE 110-3721
Second Line :
City : WAYNE
State : NJ
Zip : 07470-7032
Country : US
Telephone Number : 561-324-3115
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2023
Last Update Date : 03/14/2023

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Directions to “ JENNIFER HYSON LMFT” Practice Location

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