Individual
DR. PETER AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
36 PARK ST, MONTCLAIR, NJ 07042-3440
(973) 865-1297
Mailing address
36 PARK ST, MONTCLAIR, NJ 07042-3440
(973) 865-1297
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
023670
NY
103TC0700X
Clinical Psychologist
Primary
6395
NJ
Other
Enumeration date
03/31/2020
Last updated
06/03/2021
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