Dan R. Bottorff, M.DIV.
Individual provider Active NPI Marriage & Family Therapist · Westfield, NJ
NPI 1033262175 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1033262175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 37FI00125700 (NJ)
- Practice address
- 514 Grove St
Westfield, NJ 07090-2625 - Phone
- (908) 233-0337
- NPI assigned
- Jan 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37FI00125700 | NJ | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37FI00125700 | NJ | Yes |
Addresses
Primary practice location
514 Grove St
Westfield, NJ 07090-2625
Mailing address
514 Grove St
Westfield, NJ 07090-2625
Phone (908) 233-0337
Other providers in Westfield, NJ
- Edwin A Bonilla
- William Boulton Bonsall
- Susan Valdes Borja
- Jamie Bornstein
- Zaliyah B Boston
- Susan Brown Bottorff
- Mary Margaret Boyle
- Tara Bradshaw
- Ray Brathwaite
- Breakthrough Counseling and Consultation Services LLC
All providers in Westfield, NJ · Marriage & Family Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.