Individual
NAHTASCHA GLEABES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
396 HIGHLAND AVE, PASSAIC, NJ 07055-3223
(551) 444-8110
Mailing address
396 HIGHLAND AVE, PASSAIC, NJ 07055-3223
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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