| NPI | 1679779524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN SCOTT Accountant 973-994-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 1880) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 9120) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 3183) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2010-08-03 |