| NPI | 1033378757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FOSTER Psychologist 973-736-4008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100443100) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35S100443100) |
| 103TF0000X Psychologist, Family (Licence: NJ 35S100443100) | |
| 103TF0200X Psychologist, Forensic (Licence: NJ 35S100443100) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-18 |