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NPI Code Detail

MEDICARE: WESTFIELD MARRIAGE AND FAMILY THERAPY GROUP, PA

MEDICARE: WESTFIELD MARRIAGE AND FAMILY THERAPY GROUP, PA
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
1106H00000XMarriage & Family Therapist37FI00038300NJ
2101YP1600XPastoral Counselor392

General Provider Information

NPI Number : 1750598496
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTFIELD MARRIAGE AND FAMILY THERAPY GROUP, PA
Provider Business Mailing Address
First Line : 500 MORRIS AVE
Second Line : SUITE 302
City : SPRINGFIELD
State : NJ
Zip : 07081-1027
Country : US
Telephone Number : 973-376-6336
Fax Number : 973-376-7304
Provider Business Practice Location Address
First Line : 500 MORRIS AVE
Second Line : SUITE 302
City : SPRINGFIELD
State : NJ
Zip : 07081-1027
Country : US
Telephone Number : 973-376-6336
Fax Number : 973-376-7304
Authorized Official
Title or Position : PRESIDENT
Name : DR. ROGER WALLACE PLANTIKOW
Credential : D.MIN.
Telephone Number : 973-376-6336
Provider Enumeration Date : 05/16/2007
Last Update Date : 09/11/2025

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Directions to “WESTFIELD MARRIAGE AND FAMILY THERAPY GROUP, PA ” Practice Location

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