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Organization
WARRIOR COGNITIVE AND PSYCHOLOGICAL SERVICES
Active
Organization
WARRIOR COGNITIVE AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA LASALLE MA, CCC/SLP (PRESIDENT)
(215) 694-0689
Entity
Organization
Contact information
Practice address
509 ATLANTIC AVE, NORTH WILDWOOD, NJ 08260-5842
(215) 694-0689
(215) 632-7406
Mailing address
509 ATLANTIC AVE, NORTH WILDWOOD, NJ 08260-5842
(215) 694-0689
(215) 632-7406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00526600
NJ
103TC0700X
Clinical Psychologist
PS016960
PA
225X00000X
Occupational Therapist
46TR00237600
NJ
235Z00000X
Speech-Language Pathologist
Primary
41YS00331200
NJ
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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