Ilana Tannenbaum PH.D.

NPI 1003131269 - Psychologist - 103TB0200X

NPI Details
NPI 1003131269
Gender Female
Enumeration Date 03/31/2010
Last Updated 03/31/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
31 S FULLERTON AVE
2ND FLOOR
MONTCLAIR NJ, 07042-3455, US
Phone (973) 744-4494
Fax
Business Location
296 BERKELEY AVE
BLOOMFIELD NJ, 07003-4946, US
Phone
Fax
Toxanomy
Taxonomy Code 103TB0200X
License State New Jersey
License Number 35SI00470500
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According to our database, Dr. Ilana Tannenbaum PH.D. NPI is 1003131269, taxonomy code is 103TB0200X and license number is 35SI00470500, license state is located at New Jersey. Ilana Tannenbaum PH.D. physically located at 31 S Fullerton Ave, Montclair NJ, 07042-3455. NPI Number Ilana Tannenbaum PH.D. has the Individual type.

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1003131269 NPI number is provided on an as is basis without warranty of any kind. 1003131269 is maintained by the National Plan & Provider Enumeration System. The contents of Ilana Tannenbaum PH.D. are for informational purposes only.