Ly Fall, Fatimata M

Ly Fall, Fatimata M is an individual health care provider with primary practice located at 16 Berkeley St , Maplewood NJ 07040-3317. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Ly Fall, Fatimata M can be contacted via phone (908) 590-5810.

Contact Information

Primary practice address
16 Berkeley St Maplewood NJ 07040-3317
Phone: (908) 590-5810
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 37PC01017000 New Jersey
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1174269179
LBN Legal business name Ly Fall, Fatimata M
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2022
Last updated Mar 28th, 2024 - 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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