Van Sertima, Maria
Van Sertima, Maria is an sole proprietor health care provider with primary practice located at 59 S Adelaide Ave , Highland Park NJ 08904-1601. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Sertima, Maria can be contacted via phone (732) 828-5443.Contact Information
Primary practice address
59 S Adelaide Ave
Highland Park NJ 08904-1601
Phone: (732) 828-5443
Fax: (732) 828-5443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00270300 | New Jersey |
Profile Details
| NPI number | 1104973874 |
|---|---|
| LBN Legal business name | Van Sertima, Maria |
| Credentials | LCSW, PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104973874 | NPPES |
| New Jersey | Other | 105095000 | MAGELLAN |
| New Jersey | Other | 103890 | MAGELLAN |
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