Waller, Peggy Ilona

Waller, Peggy Ilona is an individual health care provider with primary practice located at 80 W Main St , Mendham NJ 07945-1257. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Waller, Peggy Ilona can be contacted via phone (973) 543-5656.

Contact Information

Primary practice address
80 W Main St Mendham NJ 07945-1257
Phone: (973) 543-5656
Fax: (973) 543-1361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00125500 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC05457700 New Jersey

Profile Details

NPI number 1821369562
LBN Legal business name Waller, Peggy Ilona
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2012
Last updated Jan 25th, 2012 - about 13 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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