NPI | 1215354758 |
---|---|
Entity Type | Organization |
Authorized Contact | CARYN KENNELLY Vice President 609-924-5500 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 3997) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 3995) |
103T00000X Psychologist (Licence: NJ 3995) | |
Enumeration Date | 2014-03-22 |
Last Update Date | 2014-03-22 |