LATONIA D SUYDAM CPRS
NPI 1780442111
Peer Specialist in South Amboy, NJ
- Individual
- Female
- Peer Specialist
About LATONIA SUYDAM
This page provides the complete NPI Profile along with additional information for Latonia Suydam, a provider established in South Amboy, New Jersey with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1780442111 assigned on March 2024. The practitioner's primary taxonomy code is 175T00000X with license number CPRS-50275 (NJ). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1780442111 Verify this NPI
- Provider Name
- LATONIA D SUYDAM CPRS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 540 BORDENTOWN AVE STE 203 SOUTH AMBOY, NJ 08879
- Location Phone
- (732) 963-2626
- Mailing Address
- 214 UNION AVE UNION BEACH, NJ 07735
- Mailing Phone
- (732) 770-8596
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-11-2024
- Last Update Date
- 03-11-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- CPRS-50275
- License State
- NJ
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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Other Providers at the Same Location
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1780442111, enumerated as an "individual" on March 11, 2024.
The provider is located at 540 BORDENTOWN AVE STE 203 SOUTH AMBOY, NJ 08879 and the phone number is (732) 963-2626.
Peer Specialist with taxonomy code 175T00000X.
