Individual
ANDIEA HEDAYAT-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2215 N CENTRAL RD, APT. 4G, FORT LEE, NJ 07024-7551
(201) 585-8720
Mailing address
2215 NORTH CENTRAL ROAD APT 4G, FORT LEE, NEW JERSEY, NJ 07024-0702
(201) 585-8720
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
012882-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02423747
—
NY
Enumeration date
04/17/2007
Last updated
07/18/2017
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