| NPI | 1982019022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN HISCOX Director/Licensed Psychologist 908-285-3038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00396300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 432) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |