Organization
THE NEW JERSEY INSTITUTE OF NEURBEHAVIOR
Active
Organization
THE NEW JERSEY INSTITUTE OF NEURBEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES BRAGONIER GILLOCK ED.D. (DIRECTOR OF CLINICAL SERVICES)
(908) 604-1100
Entity
Organization
Contact information
Practice address
665 MARTINSVILLE RD, RIVERWALK VILLAGE CENTER, SUITE 218, BASKING RIDGE, NJ 07920-4700
(908) 604-1100
(908) 607-1866
Mailing address
665 MARTINSVILLE RD, RIVERWALK VILLAGE CENTER, SUITE 218, BASKING RIDGE, NJ 07920-4700
(908) 604-1100
(908) 607-1866
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
1838
NJ
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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