Great Moments

NPI #1396409645 in Ridgewood, New Jersey

Provider Information

NPI Number
1396409645
Entity Type
Organization
Organization Name
Great Moments
Primary Specialty
Psychologist
Enumeration Date
Oct 22, 2021
Last Updated
Nov 19, 2021

Practice Location

Address
88 W RIDGEWOOD AVE
ZIP Code
07450-3199
Phone
(201) 757-0600

Authorized Official

Name
DR. IDA JELTOVA, PHD
Title
CLINICAL DIRECTOR
Phone
(201) 757-0600

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Psychologist

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