| NPI | 1891221941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA ALYCE TIERSKY Director 201-574-7205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-05-24 |