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General NPI Number Information
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NPI Number | 1770440554
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Entity Type | Organization
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Legal Business Name | SUMMIT OCD & ANXIETY THERAPY LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 163 ENGLE STREET, BUILDING 2 3RD FLOOR
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City | ENGLEWOOD
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State | NJ
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Zip | 07631
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Country | US
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Telephone | 201-350-7352
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Fax |
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Provider Business Mailing Address
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Address Line | 163 ENGLE STREET, BUILDING 2 3RD FLOOR
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City | ENGLEWOOD
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State | NJ
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Zip | 07631
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Country | US
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Telephone | 201-350-7352
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. VICTORIA H WACHA
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Credential | PHD
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Telephone | 201-981-5156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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