| Danielian Psychotherapy Center Llc | |
|
1 William St Apt 520 Englewood NJ 07631-3689 | |
| (201) 693-6166 | |
| Not Available |
| Full Name | Danielian Psychotherapy Center Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1 William St Apt 520, Englewood, New Jersey |
| Authorized Official Name and Position | Deanna Danielian (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2016936166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielian Psychotherapy Center Llc 1 William St Apt 520 Englewood NJ 07631-3689 Ph: (201) 693-6166 | Danielian Psychotherapy Center Llc 1 William St Apt 520 Englewood NJ 07631-3689 Ph: (201) 693-6166 |
| NPI Number | 1124897426 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Medicare PECOS PAC ID | 7012369507 |
|---|---|
| Medicare Enrollment ID | O20240119003674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124897426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Deanna Danielian |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1891191078 PECOS PAC ID: 8921450412 Enrollment ID: I20240129004434 |
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