NPI 1003131269

Ilana Tannenbaum, PHD

Practitioner Counseling Psychologist Montclair, NJ

Practice location

Address: 31 S Fullerton Ave 2nd Floor, Montclair, NJ 07042-3455
Phone: (973) 744-4494
Mailing address: 296 Berkeley Ave, Bloomfield, NJ 07003-4946

Registered specialties (2)

Counseling Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC1900X Licence 35SI00470500 (NJ)

Other Psychologist providers in New Jersey →

Cognitive & Behavioral Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TB0200X Licence 35SI00470500 (NJ)

Registry record

NPI: 1003131269
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2010
Record last updated: 31 Mar 2010

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.