NPI 1255614327

Deborah Kern LCSW LLC

Organisation Preferred Provider Organization Teaneck, NJ

Practice location

Address: 121 Cedar Ln STE 3a, Teaneck, NJ 07666
Phone: (954) 881-0830
Mailing address: 4 Horizon Rd APT. 1412, Fort Lee, NJ 07024-6743

Authorised official

Name: Deborah Beth Kern
Title: Psychotherapist
Phone: (954) 881-0830

Registered specialties (2)

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 44SC05353600 (NJ)

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Health Maintenance Organization

Managed Care Organizations Taxonomy 302R00000X Licence 44SC05353600 (NJ)

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Registry record

NPI: 1255614327
Entity type: Organization
NPI issued: 24 Sep 2011
Record last updated: 24 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.