| NPI | 1841875390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENZIE BROWN Clinical Psychologist, Sport Psych 732-567-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |