Danielle Eftaxas
Individual provider Active NPI Psychologist · Lyons, NJ
NPI 1124713698 · NPPES record last updated Dec 17, 2023
Key facts
- NPI
- 1124713698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 35SI00730800 (NJ)
- Practice address
- 151 Knollcroft Rd
Lyons, NJ 07939-5001 - Phone
- (908) 647-0180
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00730800 | NJ | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00730800 | NJ | Yes |
Addresses
Primary practice location
151 Knollcroft Rd
Lyons, NJ 07939-5001
Mailing address
151 Knollcroft Rd
Lyons, NJ 07939-5001
Other providers in Lyons, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.