Organization · Type 2 NPI

Fairlawn Behavioral Associates LLC

Prescribing (Medical) Psychologist · Fair Lawn, NJ

NPI number 1861876419 Active

Practice location

15-01 Broadway, SUITE# 10B
Fair Lawn, NJ 07410-6003

Call (201) 342-4004 Map

Fax (201) 342-4008

Mailing address

PO Box 809
Teaneck, NJ 07666-0809

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016X25MA6506500 (NJ)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

36 other providers at this address

About NPI 1861876419

Fairlawn Behavioral Associates LLC's National Provider Identifier is 1861876419, issued on Jul 14, 2015. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Fair Lawn, NJ. The record was last updated on Jul 14, 2015.