| Herbert J Tannenbaum Phd | |
|
1060 Main St Suite 306 River Edge NJ 07661-2591 | |
| (201) 488-2997 | |
| Not Available |
| Full Name | Herbert J Tannenbaum Phd |
|---|---|
| Speciality | Psychologist |
| Location | 1060 Main St, River Edge, New Jersey |
| Authorized Official Name and Position | Herbert J Tannenbaum (PSYCHOLOGIST) |
| Authorized Official Contact | 2014882997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herbert J Tannenbaum Phd 1060 Main St Suite 306 River Edge NJ 07661-2591 Ph: (201) 488-2997 | Herbert J Tannenbaum Phd 1060 Main St Suite 306 River Edge NJ 07661-2591 Ph: (201) 488-2997 |
| NPI Number | 1619374550 |
|---|---|
| Provider Enumeration Date | 11/20/2014 |
| Last Update Date | 11/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619374550 | NPI | - | NPPES |
| 1221 | Other | NJ | NJ DIV OF CONSUMER AFFAIRS LICENSCE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1221 (New Jersey) | Primary |
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