Provider Demographics
NPI:1467017780
Name:SCHEJTMAN-BACH, LIZA ADELE (MA, SAC, LCADC)
Entity Type:Individual
Prefix:MRS
First Name:LIZA
Middle Name:ADELE
Last Name:SCHEJTMAN-BACH
Suffix:
Gender:F
Credentials:MA, SAC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 NIAGARA ST
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-3406
Mailing Address - Country:US
Mailing Address - Phone:201-838-3131
Mailing Address - Fax:
Practice Address - Street 1:50 NIAGARA ST
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-3406
Practice Address - Country:US
Practice Address - Phone:201-838-3131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-02
Last Update Date:2019-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)