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Contact Information

LIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC
659 EAGLE ROCK AVE STE 4
WEST ORANGE, NJ07052-2138
 Phone: 888-284-2034
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC · (Female)

NPI Number 1245714443
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2018
Last updated 09/24/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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