Provider Demographics
NPI:1730435090
Name:PSYCHOTHERAPY AND TRAUMA THERAPY LLC
Entity type:Organization
Organization Name:PSYCHOTHERAPY AND TRAUMA THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:GREENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:973-267-7767
Mailing Address - Street 1:66 MACCULLOCH AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-8213
Mailing Address - Country:US
Mailing Address - Phone:973-267-7767
Mailing Address - Fax:215-322-1857
Practice Address - Street 1:66 MACCULLOCH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-8213
Practice Address - Country:US
Practice Address - Phone:973-267-7767
Practice Address - Fax:215-322-1857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-24
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty