| Melissa Lustmann Lcsw Llc | |
|
232 Madison Ave Wyckoff NJ 07481-1949 | |
| (973) 310-2417 | |
| Not Available |
| Full Name | Melissa Lustmann Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 232 Madison Ave, Wyckoff, New Jersey |
| Authorized Official Name and Position | Melissa Shirley Lustmann (OWNER) |
| Authorized Official Contact | 2014218851 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Lustmann Lcsw Llc 207 Highview Ter Paramus NJ 07652-4222 Ph: (201) 421-8851 | Melissa Lustmann Lcsw Llc 232 Madison Ave Wyckoff NJ 07481-1949 Ph: (973) 310-2417 |
| NPI Number | 1598410649 |
|---|---|
| Provider Enumeration Date | 02/17/2022 |
| Last Update Date | 02/17/2022 |
| Certification Date | 02/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598410649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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