| NPI | 1386787612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DECICCO Psychologist 201-327-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NJ 3233) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2018-02-06 |