| Spectrum Health And Wellness Llc | |
|
622-624 Valley Road Suite 4 Montclair NJ 07043-0704 | |
| (908) 642-5061 | |
| Not Available |
| Full Name | Spectrum Health And Wellness Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 622-624 Valley Road, Montclair, New Jersey |
| Authorized Official Name and Position | Laura H Hoge (OWNER) |
| Authorized Official Contact | 9086425061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health And Wellness Llc 622-624 Valley Road Suite 4 Montclair NJ 07043 Ph: (908) 642-5061 | Spectrum Health And Wellness Llc 622-624 Valley Road Suite 4 Montclair NJ 07043-0704 Ph: (908) 642-5061 |
| NPI Number | 1225776578 |
|---|---|
| Provider Enumeration Date | 05/26/2022 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225776578 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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