Individual
EDWARD THOMAS MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
205 RIDGEDALE AVE, FLORHAM PARK, NJ 07932
(973) 966-0057
Mailing address
PO BOX 239, 205 RIDGEDALE AVE, FLORHAM PARK, NJ 07932
(973) 966-0057
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S10091500
NJ
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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