Kodopidis, Maria

Kodopidis, Maria is an sole proprietor health care provider with primary practice located at 2 Industrial Way W Fl 2 , Eatontown NJ 07724-2265. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kodopidis, Maria can be contacted via phone (732) 982-2888.

Contact Information

Primary practice address
2 Industrial Way W Fl 2 Eatontown NJ 07724-2265
Phone: (732) 982-2888
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 1106552 New Jersey
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37PC00889700 New Jersey
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 37AC00479600 New Jersey
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC00889700 New Jersey

Profile Details

NPI number 1942773940
LBN Legal business name Kodopidis, Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2019
Last updated Aug 30th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942773940 NPPES
New Jersey MEDICAID 37PC00889700
New Jersey MEDICAID 0029807
New Jersey MEDICAID 37AC00479600

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