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NPI Code Detail

MEDICARE: DR. MARILYNN FERA NEREO PHD, LPC, LMFT

MEDICARE: DR. MARILYNN FERA NEREO PHD, LPC, LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor37PC00346000NJ
2106H00000XMarriage & Family Therapist000329-1NY

General Provider Information

NPI Number : 1184792442
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARILYNN FERA NEREO PHD, LPC, LMFT
Provider Business Mailing Address
First Line : 310 HEIGHTS RD
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-2416
Country : US
Telephone Number : 201-447-6535
Fax Number : 201-652-4903
Provider Business Practice Location Address
First Line : 310 HEIGHTS RD
Second Line :
City : RIDGEWOOD
State : NJ
Zip : 07450-2416
Country : US
Telephone Number : 201-447-6535
Fax Number : 201-652-4903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2006
Last Update Date : 09/11/2025

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