Organization
JELTOVA PSYCHOLOGICAL SERVICES PLLC
Active
Other names
Greatest Moments Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IDA JELTOVA PHD (CLINICAL DIRECTOR)
(201) 757-0600
Entity
Organization
Contact information
Practice address
116 CLINTON ST # 4, BROOKLYN, NY 11201-4204
(201) 757-0600
Mailing address
15 GLORIA DR, ALLENDALE, NJ 07401-1335
(201) 757-0600
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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