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Organization
EPHATHA MENTAL HEALTH ASSOCIATES PC
Active
Organization
EPHATHA MENTAL HEALTH ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEUNG H LEE (PRESIDENT)
(201) 313-8000
Entity
Organization
Contact information
Practice address
566 GRAND AVE, RIDGEFIELD, NJ 07657-1504
(201) 313-8000
(201) 313-8002
Mailing address
566 GRAND AVE, RIDGEFIELD, NJ 07657-1504
(201) 313-8000
(201) 313-8002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/24/2008
Last updated
03/12/2009
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