Provider Demographics
NPI:1154911915
Name:TURNER, PATRICIA J
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BECKER TER
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-1311
Mailing Address - Country:US
Mailing Address - Phone:443-957-3293
Mailing Address - Fax:973-399-1705
Practice Address - Street 1:1344 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1362
Practice Address - Country:US
Practice Address - Phone:973-399-7900
Practice Address - Fax:973-399-1705
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor