Rudolph, Joel David
Rudolph, Joel David is an sole proprietor health care provider with primary practice located at 33-11 Broadway Ste 203 , Fair Lawn NJ 07410-4638. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Rudolph, Joel David can be contacted via phone (973) 769-3699.Contact Information
Primary practice address
33-11 Broadway Ste 203
Fair Lawn NJ 07410-4638
Phone: (973) 769-3699
Fax: (973) 389-9110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 37FA00000400 | New Jersey |
Profile Details
| NPI number | 1235601451 |
|---|---|
| LBN Legal business name | Rudolph, Joel David |
| Credentials | LAMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2018 |
| Last updated | Dec 28th, 2018 - about 6 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.
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