Baskin, Lara Elizabeth
Baskin, Lara Elizabeth is an sole proprietor health care provider with primary practice located at 25 Rockwood Pl First Floor, Englewood NJ 07631-4957. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Baskin, Lara Elizabeth can be contacted via phone (201) 735-2036.Contact Information
Primary practice address
25 Rockwood Pl First Floor
Englewood NJ 07631-4957
Phone: (201) 735-2036
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | SI 03629 | New Jersey |
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 012492 | New York |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 012492 | New York |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | SI03629 | New Jersey |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | SI 03629 | New Jersey |
Profile Details
NPI number | 1922193630 |
---|---|
LBN Legal business name | Baskin, Lara Elizabeth |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 4th, 2006 |
Last updated | Sep 23rd, 2022 - about 2 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 | 1922193630 | NPPES |
New Jersey | Other | P2347822 | OXFORD OUT-OF-NETWORK ID |
New Jersey | Other | V8274 | OXFORD OUT-OF-NETWORK ID |
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