| NPI | 1134719545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS ROCKWOOD Licensed Psychologist 201-572-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |