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Contact Information

JANEIDE A CHILLIS
123 BALL ST
IRVINGTON, NJ07111-3464
 Phone: 973-930-6836
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JANEIDE A CHILLIS · (Female)

NPI # 1922695170
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2020
Last updated 12/22/2020 - About 5 years ago
Sole proprietor 1 Yes
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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