Provider Demographics
NPI:1396106415
Name:UZZALINO, ANTOINETTE (LPC)
Entity type:Individual
Prefix:
First Name:ANTOINETTE
Middle Name:
Last Name:UZZALINO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 BERGEN AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-1756
Mailing Address - Country:US
Mailing Address - Phone:201-264-0939
Mailing Address - Fax:
Practice Address - Street 1:362 CEDAR LN STE 8
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3447
Practice Address - Country:US
Practice Address - Phone:201-632-3062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00170900101YA0400X
NJ37PC00455200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)