Individual
DR. DENNIS F LA SCALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
14 SMULL AVE, CALDWELL, NJ 07006-5012
(973) 226-5521
Mailing address
16 WARD PL, CALDWELL, NJ 07006-5008
(973) 364-9613
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
35SI00384100
NJ
103TS0200X
School Psychologist
00069899
NJ
106H00000X
Marriage & Family Therapist
37FI00158000
NJ
Other
Enumeration date
06/10/2005
Last updated
11/14/2009
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