| NPI | 1063914935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH DUNKEL Owner 973-826-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100565800) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NJ 35S100565800) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35S100565800) | |
| 103TF0000X Psychologist, Family (Licence: NJ 35S100565800) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: NJ 35S100565800) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-05-01 |