Organization
OPTIMUM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN T TEDESCH LCSW (OWNER)
(201) 339-3372
Entity
Organization
Contact information
Practice address
1137 AVENUE C, BAYONNE, NJ 07002-3313
(201) 339-3372
Mailing address
1137 AVENUE C, BAYONNE, NJ 07002-3313
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
NJ
Other
Enumeration date
06/13/2007
Last updated
11/07/2014
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