Individual
DR. JENNIFER RA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
307 BLOOMFIELD AVE STE 301, CALDWELL, NJ 07006-5105
(973) 524-6501
Mailing address
307 BLOOMFIELD AVE STE 301, CALDWELL, NJ 07006-5105
(973) 524-6501
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00453400
NJ
Other
Enumeration date
03/08/2015
Last updated
08/16/2020
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