is a Clinical in Newark, New Jersey. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1588714810. The last update date is .
's current location address is 30 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739720037 and fax number 9739729355. The mailing address for is 30 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 30 Bergen St, Newark, New Jersey |
Phone Number | 9739720037 |
Fax Number | 9739729355 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1588714810 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 30 Bergen St |
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City | Newark |
State | New Jersey (NJ) |
Post Code | 71073000 |
Phone Number | 9739720037 |
Fax Number | 9739729355 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 35SI00176400 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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5407508 | NJ | -- |
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