| NPI | 1164295663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE M TERRES Clinical Psychologist/Owner 732-556-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |