Sacristan, Dolly R

Sacristan, Dolly R is an sole proprietor health care provider with primary practice located at 113 Adams Ave , River Edge NJ 07661-2229. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sacristan, Dolly R can be contacted via phone (201) 776-4004.

Contact Information

Primary practice address
113 Adams Ave River Edge NJ 07661-2229
Phone: (201) 776-4004
Fax: (212) 960-0821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05439600 New Jersey

Profile Details

NPI number 1013218528
LBN Legal business name Sacristan, Dolly R
Credentials PHD, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2010
Last updated Nov 15th, 2010 - about 14 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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