Individual
DR. BARBARA PREMPEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
94 VALLEY RD STE 302, MONTCLAIR, NJ 07042-2211
(732) 510-5045
Mailing address
651 N STILES ST # 225, LINDEN, NJ 07036-5759
(732) 510-5045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
T-4542
NJ
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
35SI00631000
NJ
103TS0200X
School Psychologist
939778
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31-4011
MEDICARE
NJ
05
—
4144007
—
NJ
Enumeration date
06/20/2008
Last updated
05/24/2021
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