| Clear Light Therapy Llc | |
|
60 Chestnut Street Building 4b Englewood NJ 07631 | |
| (609) 384-4874 | |
| Not Available |
| Full Name | Clear Light Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 60 Chestnut Street, Englewood, New Jersey |
| Authorized Official Name and Position | Dana M Colthart (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 6093844874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Light Therapy Llc 60 Chestnut Street Building 4b Englewood NJ 07631 Ph: (609) 384-4874 | Clear Light Therapy Llc 60 Chestnut Street Building 4b Englewood NJ 07631 Ph: (609) 384-4874 |
| NPI Number | 1669186433 |
|---|---|
| Provider Enumeration Date | 01/06/2023 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669186433 | NPI | - | NPPES |
| 1245793710 | Other | NJ | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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