Organization
PLATINUM TELETHERAPY LL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANA L EHRLICH (OWNER)
(609) 270-1148
Entity
Organization
Contact information
Practice address
475 OBERLIN AVE S STE 5, LAKEWOOD, NJ 08701-7024
(609) 270-1148
Mailing address
475 OBERLIN AVE S STE 5, LAKEWOOD, NJ 08701-7024
(609) 270-1148
(609) 782-3471
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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