| NPI | 1801242185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN WANG Supervisor 856-334-8596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 039232) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |