Tillmann, Gloria Yrizarry

Tillmann, Gloria Yrizarry is an sole proprietor health care provider with primary practice located at 14 Red Hawk Rd No , Colts Neck NJ 07722. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Tillmann, Gloria Yrizarry can be contacted via phone (732) 946-3648.

Contact Information

Primary practice address
14 Red Hawk Rd No Colts Neck NJ 07722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X NJ1720 New Jersey

Profile Details

NPI number 1891961744
LBN Legal business name Tillmann, Gloria Yrizarry
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2008
Last updated May 1st, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891961744 NPPES
Other 1720 NJ LICENSE

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