| NPI | 1295940104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A HERBERT Sole Proprietor 201-482-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC01287800) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NJ 44SC01287800) |
| 102L00000X Psychoanalyst (Licence: NY 025385) | |
| 1041C0700X Social Worker Clinical (Licence: NY 026385) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2015-02-10 |