Bahreini, Siavash
Bahreini, Siavash is an sole proprietor health care provider with primary practice located at 1387 Chews Landing Rd , Laurel Springs NJ 08021-2760. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bahreini, Siavash can be contacted via phone (856) 454-3104.Contact Information
Primary practice address
1387 Chews Landing Rd
Laurel Springs NJ 08021-2760
Phone: (856) 454-3104
Fax: (856) 741-1611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 37PC00643400 | New Jersey |
Profile Details
| NPI number | 1902567860 |
|---|---|
| LBN Legal business name | Bahreini, Siavash |
| Credentials | LPC, LCADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2022 |
| Last updated | Jan 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902567860 | NPPES |
| New Jersey | Other | NA | NA |
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