Individual
LUCILLE ESRALEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CP
Contact information
Practice address
707 ALEXANDER RD, SUITE 208, PRINCETON, NJ 08540-6331
(609) 419-4409
Mailing address
7F DENNISON DR, EAST WINDSOR, NJ 08520-5214
(609) 443-0452
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35S100396800
NJ
103TC0700X
Clinical Psychologist
35S100396800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886088
—
NJ
Enumeration date
12/30/2006
Last updated
07/02/2008
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