Individual
MRS. LINDA BENEZRA WACHTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
121 STONEHURST DR, TENAFLY, NJ 07670-2946
(201) 816-0996
Mailing address
121 STONEHURST DR, TENAFLY, NJ 07670-2946
(201) 816-0996
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
027610
NY
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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