Doctor Name: | MS. GLORIA S BEDERKA |
NPI Number: | 1013942523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.W., L.C.S.W. |
License Number: | 44SC00171100 |
Business Practice Address: | 270 Apple Ridge Blvd Mahwah, NJ - 074301593 |
Business Phone Number: | 2018187887 |
Business Fax Number: | 2018182786 |
Mailing Address: | 270 Apple Ridge Blvd, MAHWAH |
State: | NJ |
Postal Code: | 074301593 |
Phone Number: | 2018187887 |
Fax Number: | 2018182786 |
NPI Enumeration Date: | 07/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00171100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |