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Contact Information

GAUTAM BHASIN, PSYD
185 CEDAR LN STE U6
TEANECK, NJ07666-4303
 Phone: 201-836-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GAUTAM BHASIN · (Male)

NPI # 1861058372
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 05/10/2019
Last updated 04/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 35SI00627400
  • NY License # 023210-1
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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