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Organization

ELIZABETH R JOHANNES PHD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH R. JOHANNES PH.D., LCSW (PSYCHOTHERAPIST)
(862) 226-7285
Entity
Organization

Contact information

Practice address
37 KINGS RD STE 201, MADISON, NJ 07940-2500
(862) 226-7285
(973) 628-4807
Mailing address
65 CHAPEL HILL RD, LINCOLN PARK, NJ 07035-1918
(862) 226-7285
(973) 628-4807

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
44SC05654600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1669844262
NATIONAL PROVIDER IDENTIFICATION 1
NJ
Enumeration date
08/16/2017
Last updated
12/08/2021
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