Provider Demographics
NPI:1841835394
Name:MERIN, TAMMAR (EDS, LMFT)
Entity type:Individual
Prefix:
First Name:TAMMAR
Middle Name:
Last Name:MERIN
Suffix:
Gender:F
Credentials:EDS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-1034
Mailing Address - Country:US
Mailing Address - Phone:201-350-7178
Mailing Address - Fax:
Practice Address - Street 1:64 N SUMMIT ST
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-1034
Practice Address - Country:US
Practice Address - Phone:201-350-7178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-07
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00191700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37FI00191700OtherSTATE BOARD OF MARRIAGE AND FAMILY THERAPY EXAMINERS