Organization
ACTIVITY & HUMAN PERFORMANCE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK HAROLD SEGLIN PH.D. (PRESIDENT/LICENSED PSYCHOLOGIST)
(973) 325-3131
Entity
Organization
Contact information
Practice address
89 LAPIS CIR, WEST ORANGE, NJ 07052-2154
(973) 325-3131
(973) 325-3150
Mailing address
89 LAPIS CIR, WEST ORANGE, NJ 07052-2154
(973) 325-3131
(973) 325-3150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2138
NJ
302R00000X
Health Maintenance Organization
2138
NJ
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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