Rebecca Massa
Individual provider Active NPI School Psychologist · River Vale, NJ
NPI 1861938532 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1861938532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 1740136 (NY)
- Practice address
- 125 Coopers LN
River Vale, NJ 07675-6632 - Phone
- (845) 222-4081
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 1740136 | NY | MD | School Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1740136 | NY | Yes |
Addresses
Primary practice location
125 Coopers LN
River Vale, NJ 07675-6632
Mailing address
125 Coopers LN
River Vale, NJ 07675-6632
Phone (845) 222-4081
Other providers in River Vale, NJ
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- Brendan George Liddy
- Caitlyn Frances Sambon Maranon
- Marcies Movement LLC
- Joseph Massaro
- Michelle J McCann
- Catherine Migel
- Deirdre Moon
- Rebecca Muller
All providers in River Vale, NJ · School Psychologist 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 Jan 18, 2017. 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.