Provider Demographics
NPI:1144385683
Name:SION, EVA R (LCSW)
Entity type:Individual
Prefix:
First Name:EVA
Middle Name:R
Last Name:SION
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2366 ST GEORGE AVE
Mailing Address - Street 2:ST GEORGE BEHAVIORAL CARE
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065
Mailing Address - Country:US
Mailing Address - Phone:732-381-5200
Mailing Address - Fax:732-381-5827
Practice Address - Street 1:2366 ST GEORGE AVE
Practice Address - Street 2:ST GEORGE BEHAVIORAL CARE
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065
Practice Address - Country:US
Practice Address - Phone:732-381-5200
Practice Address - Fax:732-381-5827
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04320800103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist