MEDICARE: DEBRA DENISE ADAMCZYK 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
1	106H00000X	Marriage & Family Therapist	37FI00182700	NJ

General Provider Information

NPI Number	:	1225504863
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA DENISE ADAMCZYK LMFT

Provider Business Mailing Address
First Line	:	8924 NW 145TH ST
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33018-7336
Country	:	US
Telephone Number	:	201-694-9536
Fax Number	:

Provider Business Practice Location Address
First Line	:	33 RIVERWALK BLVD
Second Line	:
City	:	BURLINGTON
State	:	NJ
Zip	:	08016-1066
Country	:	US
Telephone Number	:	201-694-9536
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	02/23/2023

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