Provider Demographics
NPI:1902474067
Name:WOLFF, AMOS (LMFT)
Entity Type:Individual
Prefix:
First Name:AMOS
Middle Name:
Last Name:WOLFF
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 13TH ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-4435
Mailing Address - Country:US
Mailing Address - Phone:845-548-8288
Mailing Address - Fax:
Practice Address - Street 1:12 CASTLE HEIGHTS AVE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-1501
Practice Address - Country:US
Practice Address - Phone:718-734-7809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-15
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001811106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist