Doctor Name: | MRS. PATRICIA M. O'BRIEN |
NPI Number: | 1497978886 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW,LCSW,OSW-C |
License Number: | 44SC00023100 |
Business Practice Address: | 16 Pompton Ave Pompton Lakes, NJ - 074421895 |
Business Phone Number: | 9738356337 |
Business Fax Number: | 9736164688 |
Mailing Address: | 27 Sanders Pl, POMPTON PLAINS |
State: | NJ |
Postal Code: | 074441235 |
Phone Number: | 9738395326 |
Fax Number: | 9738397960 |
NPI Enumeration Date: | 04/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC00023100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |