Great Moments
Great Moments is a Psychologist in Ridgewood, New Jersey. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
88 W Ridgewood AveRidgewood, NJ 07450-3199
Phone: (201) 757-0600
Fax: (800) 507-2456
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Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
Record details
| NPI number | 1396409645 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ida Jeltova — Clinical Director · (201) 757-0600 |
| NPI enumerated | October 22, 2021 |
| Last updated in NPPES | November 19, 2021 |
| Certification date | November 19, 2021 |
| Mailing address | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 |
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