Organization · Type 2 NPI
Psychiatry&psychosomatic Medicine
Professional Counselor · Wayne, NJ
NPI number
1023303229
Active
Practice location
549 Pines Lake Dr E
Wayne, NJ 07470-5117
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 25 MA08664800 (NJ) |
Professional Counselor: Definition to come...
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About NPI 1023303229
Psychiatry&psychosomatic Medicine's National Provider Identifier is 1023303229, issued on Jun 15, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wayne, NJ. The record was last updated on Jun 15, 2011.