| Bergen Psychotherapy Practice | |
|
121 Cedar Lane Suite 3d Teaneck NJ 07666 | |
| (201) 240-8043 | |
| (201) 648-2044 |
| Full Name | Bergen Psychotherapy Practice |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 121 Cedar Lane, Teaneck, New Jersey |
| Authorized Official Name and Position | Joon Eui Lee (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 2012408043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Psychotherapy Practice 121 Cedar Ln Suite 3d Teaneck NJ 07666-4457 Ph: (201) 240-8043 | Bergen Psychotherapy Practice 121 Cedar Lane Suite 3d Teaneck NJ 07666 Ph: (201) 240-8043 |
| NPI Number | 1437571742 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437571742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00332400 (New Jersey) | Primary |
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