| NPI | 1689896359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANN MACLEOD Psychologist 908-688-5215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI003561000) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |