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:
Health care specialties
| Specialty | Code | License # | 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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