| NPI | 1386915007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVETTE PEREZ Office Manager 973-533-6878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00326100) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |