Derek Bacharach, MA
NPI #1942713359 in Montclair, New Jersey
Provider Information
- NPI Number
- 1942713359
- Entity Type
- Individual
- Name
- Derek Bacharach, MA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA
- Enumeration Date
- Nov 7, 2017
- Last Updated
- Jul 20, 2021
Practice Location
- Address
- 94 VALLEY RD
- City
- Montclair
- State
- New Jersey
- ZIP Code
- 07042-2211
- Phone
- (973) 902-7093
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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