Individual
NICOLE CLAIRE PENISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1271
(888) 244-5373
Mailing address
2412 HUNTERS GLEN DR, PLAINSBORO, NJ 08536-3864
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00590000
NJ
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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