DOV WAIDENBAUM


Address: 60 Canary Dr, Lakewood, NJ 08701-5455
Phone: 7329424669

DOV WAIDENBAUM (NPI# 1477046381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477046381
Entity Type Individual
Full Name DOV WAIDENBAUM
Credential LPC
Practice Address 60 Canary Dr
Lakewood
NJ 08701-5455
Practice Telephone 7329424669
Mailing Telephone 7329424669
Enumeration Date 2018-06-14
Last Update Date 2018-06-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
37PC00577400 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 60 CANARY DR
City LAKEWOOD
State NJ
Zip Code 08701-5455

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124635867 Indepth Therapy, LLC Counselor 7400 W Jefferson Ave Ste 111, Lakewood, CO 80235-2001 2020-09-27
1437770112 Michael Andreas Sainz Sr. Counselor 7400 W Jefferson Ave, Lakewood, CO 80235-2001 2020-05-04
1811535669 Ashley Kleinman Martinez Counselor 1658 Cole Blvd Ste 295, Lakewood, CO 80401-3312 2019-12-11
1811534290 Olga Valeriivna Mikhnyuk Counselor 274 Union Blvd Ste 450, Lakewood, CO 80228-1836 2019-12-05
1649814732 Laurie Holland Counselor 1175 Iris St, Lakewood, CO 80215-4632 2019-10-31
1881250009 Jennifer Roche-sheets Counselor 20133 Jersey Ave, Lakewood, CA 90715-1047 2019-05-13
1639631799 Cheryl Ann Dahl-monahan Counselor 525 Route 70 Ste A3, Lakewood, NJ 08701-5847 2019-04-05
1205344314 Debora Liba Yoffe Counselor 119 Courtney Rd, Lakewood, NJ 08701-1855 2018-01-11
1760994792 Isaac Schechter Counselor 1 Primrose Dr, Lakewood, NJ 08701-3283 2017-10-31
1689195562 Amanda Marie Reider Counselor 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 2017-06-30
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Competitor

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City LAKEWOOD
Zip Code 08701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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