| NPI | 1922476811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY FERNBACH Licensed Psychologist 609-238-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00225700) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |