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Contact Information

OPTIMUM BEHAVIORAL HEALTH
1137 AVENUE C
BAYONNE, NJ07002-3313
 Phone: 201-339-3371
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for OPTIMUM BEHAVIORAL HEALTH · (Female)

NPI # 1851682017
Status Active
Credentials
Entity Individual
Enumeration date 04/22/2011
Last updated 04/22/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 445CO5207500
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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