Individual provider · Type 1 NPI
Latonia D. Suydam, CPRS
Peer Specialist · South Amboy, NJ
NPI number
1780442111
Active
Practice location
540 Bordentown Ave Ste 203
South Amboy, NJ 08879-1546
Mailing address
214 Union Ave
Union Beach, NJ 07735-3147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | CPRS-50275 (NJ) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Another provider at this address
About NPI 1780442111
Latonia D. Suydam, CPRS's National Provider Identifier is 1780442111, issued on Mar 11, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in South Amboy, NJ. The record was last updated on Mar 11, 2024.