| Pds Therapy LCSW | |
|
300 Franklin Ave Ste 202 Wyckoff NJ 07481-2058 | |
| (201) 543-3934 | |
| Not Available |
| Full Name | Pds Therapy LCSW |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 300 Franklin Ave Ste 202, Wyckoff, New Jersey |
| Authorized Official Name and Position | Peter Schwartz (OWNER) |
| Authorized Official Contact | 2015433934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pds Therapy LCSW 300 Franklin Ave Ste 202 Wyckoff NJ 07481-2058 | Pds Therapy LCSW 300 Franklin Ave Ste 202 Wyckoff NJ 07481-2058 Ph: (201) 543-3934 |
| NPI Number | 1417754516 |
|---|---|
| Provider Enumeration Date | 02/26/2025 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 3173044302 |
|---|---|
| Medicare Enrollment ID | O20250304004096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417754516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (NU) | Primary |
| Provider Name | Peter D Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326586801 PECOS PAC ID: 6507388394 Enrollment ID: I20250321000882 |
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