MEDICARE: MRS. SERSARAY S BASARIR ARSLAN 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	37FI00224300	NJ

General Provider Information

NPI Number	:	1932950524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SERSARAY S BASARIR ARSLAN LMFT

Provider Business Mailing Address
First Line	:	119 STELTON RD
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-2620
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	317 ROUTE 34 STE 121B
Second Line	:
City	:	COLTS NECK
State	:	NJ
Zip	:	07722-2446
Country	:	US
Telephone Number	:	908-636-8296
Fax Number	:

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

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	06/09/2024

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