| NPI | 1669504171 |
|---|---|
| Doing Business As | EAST BRUNSWICK PSYCHOLOGICAL ASSSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KENNETH R. SUCKERMAN President 732-238-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00138800) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2007-07-15 |