is a Clinical in Medford, New Jersey. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1225247653. The last update date is .
's current location address is Po Box 1331, Medford, New Jersey. You can contact this provider via phone number 6096544455. The mailing address for is Po Box 1331, Medford, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | Po Box 1331, Medford, New Jersey |
| Phone Number | 6096544455 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1225247653 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | Po Box 1331 |
|---|---|
| City | Medford |
| State | New Jersey (NJ) |
| Post Code | 80556331 |
| Phone Number | 6096544455 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 35SI00157000 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1728806 | NJ | -- |
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