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Organization
JELTOVA PSYCHOLOGICAL SERVICES PLLC
Active
Organization
JELTOVA PSYCHOLOGICAL SERVICES PLLC
Active
Other names
Greatest Moments Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA JELTOVA PHD (CLINICAL DIRECTOR)
(201) 757-0600
Entity
Organization
Contact information
Practice address
116 CLINTON ST # 4, BROOKLYN, NY 11201-4204
(201) 757-0600
Mailing address
15 GLORIA DR, ALLENDALE, NJ 07401-1335
(201) 757-0600
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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