Wise Owl Therapy | |
12-15 Broadway Suite 2a Fair Lawn NJ 07410-2031 | |
(973) 544-8574 | |
Not Available |
Full Name | Wise Owl Therapy |
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Speciality | Community/behavioral Health |
Location | 12-15 Broadway, Fair Lawn, New Jersey |
Authorized Official Name and Position | Courtney Alvarez (THERAPIST) |
Authorized Official Contact | 9735448574 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wise Owl Therapy 768 Goffle Rd Hawthorne NJ 07506-2854 Ph: (973) 544-8574 | Wise Owl Therapy 12-15 Broadway Suite 2a Fair Lawn NJ 07410-2031 Ph: (973) 544-8574 |
NPI Number | 1891164646 |
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Provider Enumeration Date | 09/23/2015 |
Last Update Date | 09/23/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891164646 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 44SC05591200 (New Jersey) | Primary |
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