Psychiatry&Psychosomatic Medicine Valid NPI
Organization · Professional Counselor · Wayne, NJ
- NPI
- 1023303229
- Type
- Organization (Type 2)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 25 MA08664800 (NJ)
- Enumerated
- 2011-06-15
- Last updated
- 2011-06-15
Practice location
549 Pines Lake Dr E
Wayne, NJ 07470-5117
(973) 464-7599