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Organization

WAYNE PSYCHOLOGICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EMILE BERTRAND GURSTELLE PH.D. (MEMBER)
(973) 527-4411
Entity
Organization

Contact information

Practice address
45 CAREY AVE, SUITE 204, BUTLER, NJ 07405-1443
(973) 527-4411
(973) 527-4409
Mailing address
45 CAREY AVE, SUITE 204, BUTLER, NJ 07405-1443
(973) 527-4411
(973) 527-4409

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
03/21/2007
Last updated
04/29/2009
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