Individual
SAMUEL ELI MENAHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2083 CENTER AVE, SUITE G, FORT LEE, NJ 07024
(201) 944-1164
(201) 944-1623
Mailing address
2083 CENTER AVE, SUITE G, FORT LEE, NJ 07024
(201) 944-1164
(201) 944-1623
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1261
NJ
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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