Individual
BASYA S GUTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
199 SCOLES AVE, CLIFTON, NJ 07012-1125
(973) 777-7638
(973) 777-9311
Mailing address
199 SCOLES AVE, CLIFTON, NJ 07012-1125
(973) 777-7638
(973) 777-9311
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04595900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021784
—
NJ
01
—
468398
VALUE OPTIONS ID
NJ
01
—
7277358
AETNA
NJ
01
—
7345077
GHI ID
NJ
01
—
P-2196357
OXFORD ID
NJ
Enumeration date
08/12/2006
Last updated
07/09/2007
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