Organization
WILSON PSYCHOLOGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA A WILSON PHD (OWNER)
(973) 234-2345
Entity
Organization
Contact information
Practice address
416 POMPTON AVE, CEDAR GROVE, NJ 07009-1813
(973) 239-2345
(973) 559-9162
Mailing address
416 POMPTON AVE, CEDAR GROVE, NJ 07009-1813
(973) 239-2345
(973) 559-9162
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100492700
NJ
Other
Enumeration date
12/10/2012
Last updated
12/10/2012
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