Provider Demographics
NPI:1952641029
Name:HOENLEIN, MEIRA BAK (MASTERS IN PSYCHOLOG)
Entity Type:Individual
Prefix:MS
First Name:MEIRA
Middle Name:BAK
Last Name:HOENLEIN
Suffix:
Gender:F
Credentials:MASTERS IN PSYCHOLOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3022
Mailing Address - Country:US
Mailing Address - Phone:201-357-8427
Mailing Address - Fax:
Practice Address - Street 1:414 EDGEWOOD AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3022
Practice Address - Country:US
Practice Address - Phone:201-357-8427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-26
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1740074104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker