Organization
SUSSEX COUNTY PSYCHIATRIC, INC
Active
Other names
Sussex County Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LUTZ (OWNER, PRESIDENT)
(973) 426-1640
Entity
Organization
Contact information
Practice address
185 STATE ROUTE 183, STANHOPE, NJ 07874-1212
(973) 426-1640
(973) 426-1641
Mailing address
185 STATE ROUTE 183, STANHOPE, NJ 07874-1212
(973) 426-1640
(973) 426-1641
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
35SI00320600
NJ
103TB0200X
Cognitive & Behavioral Psychologist
35SI00378800
NJ
103TB0200X
Cognitive & Behavioral Psychologist
—
—
104100000X
Social Worker
44SC05174300
NJ
2084P0800X
Psychiatry Physician
Primary
MA6728800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8699003
—
NJ
Enumeration date
12/27/2006
Last updated
01/13/2009
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