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Organization

INSTITUTE FOR CHANGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID SZMAK PSY.D. (DIRECTOR)
(973) 734-0780
Entity
Organization

Contact information

Practice address
460 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3582
(973) 734-0780
Mailing address
460 BLOOMFIELD AVE, MONTCLAIR, NJ 07042-3582
(973) 734-0780

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
104100000X
Social Worker
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/30/2006
Last updated
09/11/2025
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