location
search-icon
person
Dr. Eli Michael Simong Forman, PHD
Marriage & Family Therapist in Leonia, New Jersey
NPI 1033218714

Eli Michael Simong Forman is a Marriage & Family Therapist based in Leonia, NJ. Eli Michael Simong Forman practices in Leonia, NJ and has the professional credentials of PHD. The NPI Number for Eli Michael Simong Forman is 1033218714 and holds a License No. 5688633 (New Jersey).

The current practice location address for Eli Michael Simong Forman is 431 Park Avenue, Leonia, NJ and can be reached out via phone at 201-592-7388 and via fax at 201-592-6301.

Location: 431 Park Avenue, Leonia, NJ, 07605-1219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033218714
Provider Name
Eli Michael Simong Forman
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
431 Park Avenue, Leonia, NJ, 07605-1219
Phone Number
201-592-7388
Fax Number
201-592-6301
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
431 Park Avenue
City
Leonia
State
New Jersey
Zip
07605-1219
Phone Number
201-592-7388
Fax Number
201-592-6301
person
Provider Business Mailing Address Details
Address
431 Park Avenue
City
Leonia
State
New Jersey
Zip
07605-1219
Phone Number
201-592-7388
Fax Number
201-592-6301
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
M038 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
0019 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
5688633 (New York)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.