Individual
ANDREW EISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
119 FIRST ST STE 1, HO HO KUS, NJ 07423-1576
(201) 692-2593
Mailing address
119 FIRST ST STE 1, HO HO KUS, NJ 07423-1576
(201) 692-2593
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100343000
NJ
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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