| Light Street Psychotherapy Llc | |
|
748 Morris Tpke Ste 209 Short Hills NJ 07078-2617 | |
| (917) 405-3427 | |
| Not Available |
| Full Name | Light Street Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 748 Morris Tpke Ste 209, Short Hills, New Jersey |
| Authorized Official Name and Position | Meredith Strauss (OWNER) |
| Authorized Official Contact | 9174053427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Light Street Psychotherapy Llc 7 White Oak Dr Livingston NJ 07039-1220 Ph: () - | Light Street Psychotherapy Llc 748 Morris Tpke Ste 209 Short Hills NJ 07078-2617 Ph: (917) 405-3427 |
| NPI Number | 1013473578 |
|---|---|
| Provider Enumeration Date | 02/20/2019 |
| Last Update Date | 02/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013473578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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