| Park Avenue Psychotherapy Lcsw Pc | |
|
221 River St Ste 9 Hoboken NJ 07030-5990 | |
| (917) 334-6069 | |
| Not Available |
| Full Name | Park Avenue Psychotherapy Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 221 River St Ste 9, Hoboken, New Jersey |
| Authorized Official Name and Position | Patricia A Haddon (OWNER) |
| Authorized Official Contact | 9173346069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Psychotherapy Lcsw Pc 100 Park Ave Fl 16 New York NY 10017-5538 Ph: (917) 334-6069 | Park Avenue Psychotherapy Lcsw Pc 221 River St Ste 9 Hoboken NJ 07030-5990 Ph: (917) 334-6069 |
| NPI Number | 1083328520 |
|---|---|
| Provider Enumeration Date | 01/10/2023 |
| Last Update Date | 09/08/2023 |
| Certification Date | 09/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083328520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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