Gavigan, Denise Ann
Gavigan, Denise Ann is an individual health care provider with primary practice located at 1 Lupton Ave , Woodbury NJ 08096-5901. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gavigan, Denise Ann can be contacted via phone (856) 693-5775.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 37FA00000700 | New Jersey |
Profile Details
| NPI number | 1356939920 |
|---|---|
| LBN Legal business name | Gavigan, Denise Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2021 |
| Last updated | Jul 12th, 2024 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356939920 | NPPES |
| New Jersey | MEDICAID | 0999130 |
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