Organization Name: | COGNITIVE BEHAVIOR THERAPY INSTITUTE, LLC |
NPI Number: | 1174646061 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS SEIDEN (DIRECTOR) |
Mailing Address: | 101 Eisenhower Pkwy Suite 300 Roseland |
State: | NJ US |
Postal Code: | 070681032 |
Phone Number: | 2124903590 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2007 |
NPI Last Update Date: | 04/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 014277-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |