NPI | 1992182372 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE ANN RONDEAU Clinical Director 973-743-4555 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ 35SI00390000) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00390000) |
Enumeration Date | 2015-05-05 |
Last Update Date | 2015-05-05 |