| NPI | 1205033560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARLENE BONAPACE Clinical Psychologist 732-418-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00312000) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-12-06 |