| Letapel Corporation | |
|
121 Cedar Ln Ste 102 Teaneck NJ 07666-4457 | |
| (551) 255-2854 | |
| Not Available |
| Full Name | Letapel Corporation |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 121 Cedar Ln Ste 102, Teaneck, New Jersey |
| Authorized Official Name and Position | Stephorna Patricia Barnes-patterson (OWNER) |
| Authorized Official Contact | 5512552854 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Letapel Corporation 121 Cedar Ln Ste 102 Teaneck NJ 07666-4457 Ph: (551) 255-2854 | Letapel Corporation 121 Cedar Ln Ste 102 Teaneck NJ 07666-4457 Ph: (551) 255-2854 |
| NPI Number | 1730881608 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730881608 | NPI | - | NPPES |
| 1316247075 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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