Provider Demographics
NPI:1750429908
Name:LOPRESTI, RONA (PHD)
Entity type:Individual
Prefix:DR
First Name:RONA
Middle Name:
Last Name:LOPRESTI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 INWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1909
Mailing Address - Country:US
Mailing Address - Phone:973-746-5650
Mailing Address - Fax:973-746-5556
Practice Address - Street 1:182 INWOOD AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1909
Practice Address - Country:US
Practice Address - Phone:973-746-5650
Practice Address - Fax:973-746-5556
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1639103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ085184Medicare ID - Type Unspecified