| NPI | 1306064753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR A SIEGEL Owner 732-294-9694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00107300) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |