Tannenbaum, Ilana

Tannenbaum, Ilana is an individual health care provider with primary practice located at 31 S Fullerton Ave 2Nd Floor, Montclair NJ 07042-3455. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Tannenbaum, Ilana can be contacted via phone (973) 744-4494.

Contact Information

Primary practice address
31 S Fullerton Ave 2Nd Floor Montclair NJ 07042-3455
Phone: (973) 744-4494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 35SI00470500 New Jersey
Behavioral Health & Social Service Providers / Counseling 103TC1900X 35SI00470500 New Jersey

Profile Details

NPI number 1003131269
LBN Legal business name Tannenbaum, Ilana
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2010
Last updated Mar 31st, 2010 - about 15 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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