Healthcare Provider Details

I. General information

NPI: 1710318357
Provider Name (Legal Business Name): DEBRA ANN TURITZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2013
Last Update Date: 12/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 JOHNSON AVE
TEANECK NJ
07666-4212
US

IV. Provider business mailing address

75 JOHNSON AVE
TEANECK NJ
07666-4212
US

V. Phone/Fax

Practice location:
  • Phone: 201-403-6381
  • Fax: 201-801-0458
Mailing address:
  • Phone: 201-403-6381
  • Fax: 201-801-0458

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC01476800
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: