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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104973874 NPPES
New Jersey Other 105095000 MAGELLAN
New Jersey Other 103890 MAGELLAN

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