| NPI | 1619173184 |
|---|---|
| Former Legal Business Name | PHOENIX PSYCHOLOGICAL ASSOCIATES, INC. |
| Entity Type | Organization |
| Authorized Contact | BARBARA A MACFIE Sole Owner 732-501-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00335400) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2012-08-03 |