Basic Information
| Provider Information | |||||||||
| NPI: | 1245506641 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STEIN | ||||||||
| FirstName: | JOANNE | ||||||||
| MiddleName: | HEALION | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 SPRUCE ST | ||||||||
| Address2: | SUITE 205 | ||||||||
| City: | TRENTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 086383957 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6093965944 | ||||||||
| FaxNumber: | 6093963499 | ||||||||
| Practice Location | |||||||||
| Address1: | 314-316 E. STATE ST. | ||||||||
| Address2: | |||||||||
| City: | TRENTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 08608 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6093965944 | ||||||||
| FaxNumber: | 6093963499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2012 | ||||||||
| LastUpdateDate: | 03/29/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 44SC01368000 | NJ | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.