| NPI | 1750616983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY STANKIEWICZ Psychologist 908-307-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35si00468300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37pc00385500) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2024-07-01 |