| The Transformation Center | |
|
122 E Ridgewood Ave Paramus NJ 07652-4038 | |
| (201) 556-8210 | |
| (201) 483-8071 |
| Full Name | The Transformation Center |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 122 E Ridgewood Ave, Paramus, New Jersey |
| Authorized Official Name and Position | Nichole Leibrock (MEDICAL BILLING SPECIALIST) |
| Authorized Official Contact | 2015568210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Transformation Center 122 E Ridgewood Ave Paramus NJ 07652-4038 Ph: (201) 556-8210 | The Transformation Center 122 E Ridgewood Ave Paramus NJ 07652-4038 Ph: (201) 556-8210 |
| NPI Number | 1144863622 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144863622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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