DR. Eli Michael Simong Forman, PHD
NPI #1033218714 in Leonia, New Jersey
Provider Information
- NPI Number
- 1033218714
- Entity Type
- Individual
- Name
- DR. Eli Michael Simong Forman, PHD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Credential
- PHD
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 431 PARK AVENUE
- City
- Leonia
- State
- New Jersey
- ZIP Code
- 07605-1219
- Phone
- (201) 592-7388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor - Professional — Professional |
| Marriage & Family Therapist |
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