Elisa Susan Bobrow in Summit - Clinical Child & Adolescent

Elisa Susan Bobrow - NPI 1639370877

Elisa Susan Bobrow is a Clinical Child & Adolescent in Summit, New Jersey. Elisa Susan Bobrow practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Elisa Susan Bobrow is 1639370877. The last update date is 2007-07-08.

Elisa Susan Bobrow's current location address is 332 Springfield Ave, Summit, New Jersey. You can contact this provider via phone number 9089189393 and fax number 9734673385. The mailing address for Elisa Susan Bobrow is 332 Springfield Ave, Summit, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Elisa Susan Bobrow
Address 332 Springfield Ave, Summit, New Jersey
Phone Number 9089189393
Fax Number 9734673385
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1639370877
Provider Enumeration Date 2007-05-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 332 Springfield Ave
City Summit
State New Jersey (NJ)
Post Code 79013658
Phone Number 9089189393
Fax Number 9734673385

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 35SI00212500
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Elisa Susan Bobrow

What is the unique identifier code issued to Elisa Susan Bobrow by the Centers for Medicare & Medicaid Services (CMS)?

The Elisa Susan Bobrow has been assigned the NPI (National Provider Identifier) 1639370877. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Elisa Susan Bobrow is physically located?

The Elisa Susan Bobrow is situated at the following address: 332 Springfield Ave, Summit, NJ 79013658.

What is the Elisa Susan Bobrow's area of specialization and corresponding taxonomy classification?

The Elisa Susan Bobrow's specialty field is Clinical Child & Adolescent, and it falls under the taxonomy code 103Tc2200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1639370877 to Elisa Susan Bobrow?

The Elisa Susan Bobrow received its 1639370877 assignment from the Centers for Medicare & Medicaid Services on 2007-05-29.

When was the Elisa Susan Bobrow's information last updated?

The Elisa Susan Bobrow's information was last updated on 2007-07-08.

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