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Organization
PSYCHOANALYTIC CLINIC INC.
Active
Organization
PSYCHOANALYTIC CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL B WILSON PH.D (CO-DIRECTOR)
(201) 836-3032
Entity
Organization
Contact information
Practice address
121 CEDAR LANE, STE 3A, TEANECK, NJ 07666
(201) 836-1065
Mailing address
121 CEDAR LANE, STE 3A, TEANECK, NJ 07666
(201) 836-1065
(201) 836-3902
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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