| NPI | 1477047439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL J LAVENDER Owner/Clinical Director 732-276-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100297600) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |