Organization · Type 2 NPI
Prov 205 LLC
Psychologist · Bayonne, NJ
Practice location
866 Broadway, Suite A
Bayonne, NJ 07002-3070
Fax (201) 354-9376
Mailing address
PO Box 626
New Providence, NJ 07974-0626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 35SI00437200 (NJ) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
Other psychologist providers in Bayonne
About NPI 1063963411
Prov 205 LLC's National Provider Identifier is 1063963411, issued on Oct 20, 2016. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Bayonne, NJ. The record was last updated on Apr 27, 2017.