Healthcare Provider Details

I. General information

NPI: 1992244289
Provider Name (Legal Business Name): RACHEL SUGERMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/20/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3607
US

IV. Provider business mailing address

610 VALLEY HEALTH PLZ
PARAMUS NJ
07652-3607
US

V. Phone/Fax

Practice location:
  • Phone: 201-986-5037
  • Fax: 201-265-5027
Mailing address:
  • Phone: 201-986-5037
  • Fax: 201-265-5027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00622400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: