Doctor Name: | JULIANA VARGENS |
NPI Number: | 1184090060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 44SC05643100 |
Business Practice Address: | 150 New Providence Rd Mountainside, NJ - 070922590 |
Business Phone Number: | 9082333720 |
Business Fax Number: | 9083015447 |
Mailing Address: | 150 New Providence Rd, MOUNTAINSIDE |
State: | NJ |
Postal Code: | 070922590 |
Phone Number: | 9082333720 |
Fax Number: | 9083015447 |
NPI Enumeration Date: | 08/14/2015 |
NPI Last Update Date: | 08/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05643100 |
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 |