Provider Demographics
NPI:1003848367
Name:WESTREICH, ALLAN H (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:H
Last Name:WESTREICH
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 DANIEL DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-3012
Mailing Address - Country:US
Mailing Address - Phone:908-526-8760
Mailing Address - Fax:908-842-0389
Practice Address - Street 1:250 STATE ROUTE 28
Practice Address - Street 2:SUITE 206
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1979
Practice Address - Country:US
Practice Address - Phone:908-526-8760
Practice Address - Fax:908-842-0389
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2020-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00337300103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7063601Medicaid
NJ892855Medicare ID - Type Unspecified