| Doctor Name: | DR. OFELIA RODRIGUEZ SREDNICKI |
| NPI Number: | 1184712044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 0418000 |
| Business Practice Address: | 543 Valley Rd Suite 9 Upper Montclair, NJ - 070431881 |
| Business Phone Number: | 9737449130 |
| Business Fax Number: | 9738632354 |
| Mailing Address: | 115 Reldyes Ave, LEONIA |
| State: | NJ |
| Postal Code: | 076051326 |
| Phone Number: | 9737449130 |
| Fax Number: | 9738632354 |
| NPI Enumeration Date: | 10/10/2006 |
| NPI Last Update Date: | 10/21/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 0418000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |