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Organization
PHOENIX PSYCHOTHERAPY LLC
Active
Organization
PHOENIX PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE SMALDONE MSW, LCSW (OWNER/PSYCHOTHERAPIST)
(732) 786-4804
Entity
Organization
Contact information
Practice address
191 US 9 S, ENGLISHTOWN, NJ 07726-8233
(732) 786-4804
(732) 612-5110
Mailing address
191 US 9 S, ENGLISHTOWN, NJ 07726-8233
(732) 786-4804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447726856
INDIVIDUAL NPI
—
01
—
44SC05977000
LCSW
NJ
Enumeration date
02/04/2022
Last updated
02/04/2022
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