| NPI | 1811070824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JUST Director 201-447-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 103TC0700X) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NJ 103GC0700X) |
| 103T00000X Psychologist (Licence: NJ 103TP2700X) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NJ 103TB0200X) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: NJ 103TP2701X) | |
| 103TS0200X Psychologist School (Licence: NJ 103TS0200X) | |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-08-12 |