Provider Demographics
NPI:1699785519
Name:RAPPAPORT, HOWARD RUSS (PSYD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:RUSS
Last Name:RAPPAPORT
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 1:11 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2810
Mailing Address - Country:US
Mailing Address - Phone:908-879-7385
Mailing Address - Fax:908-879-7385
Practice Address - Street 1:2 WORLDS FAIR DRIVE
Practice Address - Street 2:SUITE 111
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-805-9202
Practice Address - Fax:732-805-9808
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2007-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1566103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist