Elissa Koplik Llc is a Clinical in Milltown, New Jersey. Elissa Koplik Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elissa Koplik Llc is 1689874570. The last update date is 2008-05-08.
Elissa Koplik Llc's current location address is 161 S Main St, Milltown, New Jersey. You can contact this provider via phone number 7322464446. The mailing address for Elissa Koplik Llc is 161 S Main St, Milltown, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elissa Koplik Llc |
|---|---|
| Address | 161 S Main St, Milltown, New Jersey |
| Phone Number | 7322464446 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Koplik K Elissa |
| Credentials | PHD |
| Telephone Number | 7326130465 |
NPI Number Detail
| NPI Number | 1689874570 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2008-05-08 |
Provider Mailing Address Detail
| Address | 161 S Main St |
|---|---|
| City | Milltown |
| State | New Jersey (NJ) |
| Post Code | 88501800 |
| Phone Number | 7322464446 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 35SI00401600 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique provider identifier assigned to Elissa Koplik Llc?
The Elissa Koplik Llc has been issued the NPI (National Provider Identifier) 1689874570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Elissa Koplik Llc located?
The Elissa Koplik Llc is located at 161 S Main St, Milltown, NJ 88501800.
What is Elissa Koplik Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elissa Koplik Llc is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689874570 to Elissa Koplik Llc?
The Elissa Koplik Llc received its 1689874570 assignment from the Centers for Medicare & Medicaid Services on 2007-07-19.
As of what date was the information regarding Elissa Koplik Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Elissa Koplik Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-05-08.
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