| NPI | 1629175708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGE PUIG Psychologist 856-482-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100299200) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35S100180800) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NJ 35S100180800) | |
| 103TC0700X Psychologist Clinical (Licence: NJ 35S100180800) | |
| 103TC1900X Psychologist Counseling (Licence: NJ 35S100180800) | |
| 103TS0200X Psychologist School (Licence: NJ 35S100299200) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-04-14 |