Doctor Name: | MS. PATRICIA GALE VADINE |
NPI Number: | 1093045213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 725 River Vale Rd. River Vale, NJ - 07675 |
Business Phone Number: | 2019832200 |
Business Fax Number: | 2013919516 |
Mailing Address: | 725 River Vale Rd., RIVER VALE |
State: | NJ |
Postal Code: | 07675 |
Phone Number: | 2019832200 |
Fax Number: | 2013919516 |
NPI Enumeration Date: | 01/11/2010 |
NPI Last Update Date: | 12/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |