Individual
DR. NIVINE TANIOS SHENOUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
70 ATHERTON CT, WAYNE, NJ 07470-3385
(201) 913-6779
Mailing address
70 ATHERTON CT, WAYNE, NJ 07470-3385
(973) 872-2473
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100280200
NJ
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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