| NPI | 1447737234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEISSY MEZA President 201-898-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 355100446100) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 16213-1) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |