Avery, Peter

Avery, Peter is an sole proprietor health care provider with primary practice located at 36 Park St , Montclair NJ 07042-3440. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Avery, Peter can be contacted via phone (973) 865-1297.

Contact Information

Primary practice address
36 Park St Montclair NJ 07042-3440
Phone: (973) 865-1297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 023670 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6395 New Jersey

Profile Details

NPI number 1023646387
LBN Legal business name Avery, Peter
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2020
Last updated Jun 3rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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