Doctor Name: | ANN MARIE CECERE |
NPI Number: | 1255453502 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC04393300 |
Business Practice Address: | 155 County Rd Suite 1 Cresskill, NJ - 076262200 |
Business Phone Number: | 2018161808 |
Business Fax Number: | |
Mailing Address: | 6 Horizon Rd, Apt 1806 FORT LEE |
State: | NJ |
Postal Code: | 070246652 |
Phone Number: | 2018161808 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 44SC04393300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |