| Drjenjoseph,llc | |
|
87 Park St Ofc 5 Montclair NJ 07042-3465 | |
| (917) 456-9129 | |
| Not Available |
| Full Name | Drjenjoseph,llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 87 Park St Ofc 5, Montclair, New Jersey |
| Authorized Official Name and Position | Jennifer Joseph (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9174569129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drjenjoseph,llc 21 Tuers Pl Montclair NJ 07043-2546 Ph: () - | Drjenjoseph,llc 87 Park St Ofc 5 Montclair NJ 07042-3465 Ph: (917) 456-9129 |
| NPI Number | 1881304061 |
|---|---|
| Provider Enumeration Date | 11/29/2022 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881304061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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