Doctor Name: | SHEMSI PRINZIVALLI |
NPI Number: | 1245410471 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CADC |
License Number: | 37CA00062000 |
Business Practice Address: | 56 N Central Ave Ramsey, NJ - 074461808 |
Business Phone Number: | 2123165383 |
Business Fax Number: | |
Mailing Address: | 56 N Central Ave, RAMSEY |
State: | NJ |
Postal Code: | 074461808 |
Phone Number: | 2123165383 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2007 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37CA00062000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |