| NPI | 1881764918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R MCGOWAN Psychologist 856-222-0783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35S100302200) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100302200) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2009-04-22 |