Provider Demographics
NPI:1174349591
Name:ALPERT, REBECCA (MA,LPC, LPAT, ATR-BC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ALPERT
Suffix:
Gender:F
Credentials:MA,LPC, LPAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 SAINT NICHOLAS AVE
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-1637
Mailing Address - Country:US
Mailing Address - Phone:201-747-4388
Mailing Address - Fax:
Practice Address - Street 1:185 BROADWAY STE 1
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642-2746
Practice Address - Country:US
Practice Address - Phone:845-793-2657
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ16LP00003400221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist