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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417004631 NPPES
New Jersey MEDICAID 6356605

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