Moulton, Marzanna
Moulton, Marzanna is an sole proprietor health care provider with primary practice located at 233 Mount Airy Rd , Basking Ridge NJ 07920-2338. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Moulton, Marzanna can be contacted via phone (908) 350-3535.Contact Information
Primary practice address
233 Mount Airy Rd
Basking Ridge NJ 07920-2338
Phone: (908) 350-3535
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1184070914 |
|---|---|
| LBN Legal business name | Moulton, Marzanna |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2016 |
| Last updated | Nov 25th, 2019 - about 5 years 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 | 1184070914 | NPPES |
| New Jersey | MEDICAID | 0023701 | |
| New Jersey | MEDICAID | 7797403 |
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