Individual
DR. SUSAN POLKOWSKI WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
348 ESTATE POINT RD, TOMS RIVER, NJ 08753-2064
(732) 573-4282
Mailing address
348 ESTATE POINT RD, TOMS RIVER, NJ 08753-2064
(732) 573-4282
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00618400
NJ
Other
Enumeration date
10/21/2019
Last updated
09/07/2020
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