Provider Demographics
NPI:1063548725
Name:RONA LOPRESTI, PH.D.
Entity type:Organization
Organization Name:RONA LOPRESTI, PH.D.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPRESTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-746-5650
Mailing Address - Street 1:182 INWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07043-1909
Mailing Address - Country:US
Mailing Address - Phone:973-746-5650
Mailing Address - Fax:973-746-5556
Practice Address - Street 1:182 INWOOD AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1909
Practice Address - Country:US
Practice Address - Phone:973-746-5650
Practice Address - Fax:973-746-5556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1639103T00000X
NJ44SC006680001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ085184Medicare ID - Type Unspecified