Organization · Type 2 NPI
Centro Feed
Health Service Psychologist · Avenel, NJ
NPI number
1790306512
Active
Practice location
114 Forest View Dr
Avenel, NJ 07001-2184
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | None listed |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
2 other providers at this address
About NPI 1790306512
Centro Feed's National Provider Identifier is 1790306512, issued on May 4, 2020. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Avenel, NJ. The record was last updated on May 4, 2020.