Individual
ISABEL R. DE MASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
71 FRANKLIN TPKE, FLOOR 2 SUITE 4, WALDWICK, NJ 07463-1851
(201) 447-1220
Mailing address
83 PARK AVE, ALLENDALE, NJ 07401-1715
(201) 327-2717
(201) 327-4105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
44SC00128800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141381
VALUE OPTIONS
—
01
—
5643121
AETNA
—
01
—
99380
UBH
—
01
—
P1536350
OXFORD
—
Enumeration date
07/21/2006
Last updated
07/08/2007
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