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Organization

INSPIRE WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL H GROENEWAL PSY.D (PARTNER)
(551) 206-2479
Entity
Organization

Contact information

Practice address
266 HARRISTOWN RD STE 209, GLEN ROCK, NJ 07452
(201) 564-7331
Mailing address
266 HARRISTOWN RD STE 209, GLEN ROCK, NJ 07452-3321
(201) 564-7331

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
103G00000X
Clinical Neuropsychologist
Primary
103TC0700X
Clinical Psychologist
35SI00494500
NJ
1041C0700X
Clinical Social Worker
44SC05287100
NJ

Other

Enumeration date
08/23/2018
Last updated
07/20/2021
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