| NPI | 1194027045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WHITE Licensed Psychologist 732-528-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00156500) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-12-16 |