Provider Demographics
NPI:1689474603
Name:BERMEO-PAREDES, ESTEFANIA MONSERRAT (MA)
Entity type:Individual
Prefix:
First Name:ESTEFANIA
Middle Name:MONSERRAT
Last Name:BERMEO-PAREDES
Suffix:
Gender:
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 32ND ST STE 2
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-2418
Mailing Address - Country:US
Mailing Address - Phone:201-865-7450
Mailing Address - Fax:
Practice Address - Street 1:711 32ND ST STE 2
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-2418
Practice Address - Country:US
Practice Address - Phone:201-865-7450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health