Doctor Name: | RHODAMANTHY REPOUSIS |
NPI Number: | 1013077122 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00288900 |
Business Practice Address: | 100 E Hanover Ave Cedar Knolls, NJ - 079272020 |
Business Phone Number: | 9734012121 |
Business Fax Number: | 9734012140 |
Mailing Address: | 696 Golden Ave, SECAUCUS |
State: | NJ |
Postal Code: | 070943117 |
Phone Number: | 7327942834 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00288900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |