| NPI | 1659814853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNIE ANN FEGAN Clinical Psychologist/Supervisor 732-747-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00391500) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |