Wallach, Amira Paris
Wallach, Amira Paris is an sole proprietor health care provider with primary practice located at 40 S Highwood Ave , Glen Rock NJ 07452-1402. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wallach, Amira Paris can be contacted via phone (201) 652-6067.Contact Information
Primary practice address
40 S Highwood Ave
Glen Rock NJ 07452-1402
Phone: (201) 652-6067
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | SIO1674 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35SI00167400 | New Jersey |
Profile Details
| NPI number | 1417004631 |
|---|---|
| LBN Legal business name | Wallach, Amira Paris |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 15th, 2020 - about 4 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 | 1417004631 | NPPES |
| New Jersey | MEDICAID | 6356605 |
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