Provider Demographics
NPI:1053995704
Name:FRANCIS, JUSTIN RYAN (DMH, MA, MT-BC)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:RYAN
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:DMH, MA, MT-BC
Other - Prefix:
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Mailing Address - Street 1:151 KNOLLCROFT RD BLDG 8
Mailing Address - Street 2:
Mailing Address - City:LYONS
Mailing Address - State:NJ
Mailing Address - Zip Code:07939-5001
Mailing Address - Country:US
Mailing Address - Phone:908-647-0180
Mailing Address - Fax:908-604-5268
Practice Address - Street 1:151 KNOLLCROFT RD BLDG 8
Practice Address - Street 2:
Practice Address - City:LYONS
Practice Address - State:NJ
Practice Address - Zip Code:07939-5001
Practice Address - Country:US
Practice Address - Phone:908-647-0180
Practice Address - Fax:908-604-5268
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-10
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
09529225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist