| NPI | 1366569519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY H TEITELBAUM Clinical Psychologist 201-836-1531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 894) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 2878) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |