Provider Demographics
NPI:1962921460
Name:TEWFIK, PAUL (MS, LMFT)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:TEWFIK
Suffix:
Gender:M
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 OLD SHORT HILLS RD APT 448
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1036
Mailing Address - Country:US
Mailing Address - Phone:908-868-4291
Mailing Address - Fax:
Practice Address - Street 1:19 HUTTON AVE
Practice Address - Street 2:
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-4803
Practice Address - Country:US
Practice Address - Phone:973-672-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00179300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health