Bahreini, Siavash

Bahreini, Siavash is an sole proprietor health care provider with primary practice located at 1387 Chews Landing Rd , Laurel Springs NJ 08021-2760. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bahreini, Siavash can be contacted via phone (856) 454-3104.

Contact Information

Primary practice address
1387 Chews Landing Rd Laurel Springs NJ 08021-2760
Phone: (856) 454-3104
Fax: (856) 741-1611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00643400 New Jersey

Profile Details

NPI number 1902567860
LBN Legal business name Bahreini, Siavash
Credentials LPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2022
Last updated Jan 4th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902567860 NPPES
New Jersey Other NA NA

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