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

Primary practice address
1 Lupton Ave Woodbury NJ 08096-5901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356939920 NPPES
New Jersey MEDICAID 0999130

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