| NPI | 1386349975 |
|---|---|
| Doing Business As | CHOOSE TITLE |
| Entity Type | Organization |
| Authorized Contact | KATELYN COFFEY Clinical Psychologist 856-979-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |