Willingham, Thomas Burton

Willingham, Thomas Burton is an sole proprietor health care provider with primary practice located at 131 Pascack Rd , Park Ridge NJ 07656-1124. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Willingham, Thomas Burton can be contacted via phone (201) 391-1935.

Contact Information

Primary practice address
131 Pascack Rd Park Ridge NJ 07656-1124
Phone: (201) 391-1935
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00193400 New Jersey
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC002492 New York

Profile Details

NPI number 1992913370
LBN Legal business name Willingham, Thomas Burton
Credentials M.DIV.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 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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