Provider Demographics
NPI:1285742668
Name:OCONNOR, JOHN JAMES (PSYD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:JAMES
Last Name:OCONNOR
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 MAIN ST
Mailing Address - Street 2:P.O. BOX 236
Mailing Address - City:NEW EGYPT
Mailing Address - State:NJ
Mailing Address - Zip Code:08533-1413
Mailing Address - Country:US
Mailing Address - Phone:609-758-1237
Mailing Address - Fax:609-758-7255
Practice Address - Street 1:33 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW EGYPT
Practice Address - State:NJ
Practice Address - Zip Code:08533-1415
Practice Address - Country:US
Practice Address - Phone:609-758-1237
Practice Address - Fax:609-758-7255
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00437800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist