Provider Demographics
NPI:1396488177
Name:BUSICHIO, NADYNE (LPC)
Entity type:Individual
Prefix:
First Name:NADYNE
Middle Name:
Last Name:BUSICHIO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:NADYNE
Other - Middle Name:
Other - Last Name:PERLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:12 PITTENGER RD
Mailing Address - Street 2:
Mailing Address - City:THREE BRIDGES
Mailing Address - State:NJ
Mailing Address - Zip Code:08887-2300
Mailing Address - Country:US
Mailing Address - Phone:732-770-8354
Mailing Address - Fax:
Practice Address - Street 1:5 WALTER E FORAN BLVD STE 2002
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4674
Practice Address - Country:US
Practice Address - Phone:908-989-7484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00561200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional