| NPI | 1770077752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN TENNYSON Psychologist 973-556-8462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35Si00448700) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-11-08 |