Provider Demographics
NPI:1598221491
Name:ROBERT PASAHOW, PHD, LLC
Entity Type:Organization
Organization Name:ROBERT PASAHOW, PHD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:PASAHOW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:609-641-2500
Mailing Address - Street 1:600 NEW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08225-1653
Mailing Address - Country:US
Mailing Address - Phone:609-641-2500
Mailing Address - Fax:
Practice Address - Street 1:600 NEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-1653
Practice Address - Country:US
Practice Address - Phone:609-641-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty