| NPI | 1831887058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LONNIE SARNELL Owner/Psychologist 973-615-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-03-17 |