| Psychological Consulting And Therapy Inc | |
|
71 Franklin Tpke Suite 1-2 Waldwick NJ 07463-1851 | |
| (201) 497-0289 | |
| (866) 850-6432 |
| Full Name | Psychological Consulting And Therapy Inc |
|---|---|
| Speciality | Social Worker |
| Location | 71 Franklin Tpke, Waldwick, New Jersey |
| Authorized Official Name and Position | Valery E Fradkov (PRESIDENT) |
| Authorized Official Contact | 2014970289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Consulting And Therapy Inc 71 Franklin Tpke Suite 1-2 Waldwick NJ 07463-1851 Ph: (201) 497-0289 | Psychological Consulting And Therapy Inc 71 Franklin Tpke Suite 1-2 Waldwick NJ 07463-1851 Ph: (201) 497-0289 |
| NPI Number | 1114370657 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 09/19/2016 |
| Medicare PECOS PAC ID | 5092002055 |
|---|---|
| Medicare Enrollment ID | O20160920001287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114370657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05391100 (New Jersey) | Primary |
| Provider Name | Valery Fradkov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841427663 PECOS PAC ID: 3274686233 Enrollment ID: I20090825000026 |
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