| Paul D. Kreisinger, Lcsw, Llc | |
|
1172 E Ridgewood Ave Second Floor - Suite 8 Ridgewood NJ 07450-3936 | |
| (201) 251-2300 | |
| (201) 939-3336 |
| Full Name | Paul D. Kreisinger, Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1172 E Ridgewood Ave, Ridgewood, New Jersey |
| Authorized Official Name and Position | Paul D Kreisinger (OWNER) |
| Authorized Official Contact | 2019393336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul D. Kreisinger, Lcsw, Llc 51 Elliott Pl Rutherford NJ 07070-1951 Ph: (201) 939-3336 | Paul D. Kreisinger, Lcsw, Llc 1172 E Ridgewood Ave Second Floor - Suite 8 Ridgewood NJ 07450-3936 Ph: (201) 251-2300 |
| NPI Number | 1871967828 |
|---|---|
| Provider Enumeration Date | 11/13/2015 |
| Last Update Date | 11/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871967828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 44SC05633100 (New Jersey) | Primary |
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