| Dejaye Radiotis, Lpc | |
|
360 Springfield Ave Suite 301 Summit NJ 07901-4608 | |
| (973) 270-5187 | |
| Not Available |
| Full Name | Dejaye Radiotis, Lpc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 360 Springfield Ave, Summit, New Jersey |
| Authorized Official Name and Position | Dejaye Radiotis (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9732705187 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dejaye Radiotis, Lpc 17a Doremus St Summit NJ 07901-3416 Ph: (201) 874-2366 | Dejaye Radiotis, Lpc 360 Springfield Ave Suite 301 Summit NJ 07901-4608 Ph: (973) 270-5187 |
| NPI Number | 1770731788 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770731788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 37PC00326200 (New Jersey) | Primary |
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