Organization
FAMILY DYNAMICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN KURTH LPC (OWNER/THERAPIST)
(201) 873-7907
Entity
Organization
Contact information
Practice address
216 DAYTON ST STE 3, RIDGEWOOD, NJ 07450-4450
(201) 978-7585
Mailing address
210 GAYNOR PL, GLEN ROCK, NJ 07452-3644
(201) 873-7907
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609148823
PROVIDER NPI
NJ
Enumeration date
06/11/2018
Last updated
06/11/2019
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