| NPI | 1831637917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANE TUNG Clinical Psychologist 201-780-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100571300) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |