Individual
JANE PALUMBO LASTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
140 PARK ST, HAWORTH, NJ 07641-1636
(201) 385-4857
Mailing address
11 WILLIS DR, CLOSTER, NJ 07624-1634
(201) 768-3718
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100211800
NJ
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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