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Organization
PSYCH-ED SERVICES, INC
Active
Organization
PSYCH-ED SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENZO PUERTAS PSY.D. (DIRECTOR)
(201) 674-1392
Entity
Organization
Contact information
Practice address
781 COMMANCHE LN, FRANKLIN LAKES, NJ 07417-2903
(201) 847-1054
(201) 847-9647
Mailing address
781 COMMANCHE LN, FRANKLIN LAKES, NJ 07417-2903
(201) 847-1054
(201) 847-9647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
44SL05578500
NJ
1041C0700X
Clinical Social Worker
44SC04535900
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05357500
NJ
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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