Provider Demographics
NPI:1659572154
Name:VIRA, ROHINI (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:ROHINI
Middle Name:
Last Name:VIRA
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 HARRISON STREET
Mailing Address - Street 2:SUITE 212-A
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:917-328-5926
Mailing Address - Fax:
Practice Address - Street 1:425 WASHINGTON BLVD
Practice Address - Street 2:3205
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07310
Practice Address - Country:US
Practice Address - Phone:917-328-5926
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000677106H00000X
MI4101006284106H00000X
WALF 60042004106H00000X
NJ37FI00167000106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist