Provider Demographics
NPI:1508553629
Name:MONIKA MARTINO PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:MONIKA MARTINO PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOMIK-MARTINO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:848-200-5596
Mailing Address - Street 1:4 BRIDGE PLAZA DR STE 3
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1747
Mailing Address - Country:US
Mailing Address - Phone:848-200-5596
Mailing Address - Fax:
Practice Address - Street 1:4 BRIDGE PLAZA DR STE 3
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1747
Practice Address - Country:US
Practice Address - Phone:848-200-5596
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty