Individual
DR. THOMAS BLAKE HOLLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1149 BLOOMFIELD AVE, CLIFTON, NJ 07012-2314
(973) 365-2300
(973) 365-0868
Mailing address
1149 BLOOMFIELD AVE, CLIFTON, NJ 07012-2314
(973) 365-2300
(973) 365-0868
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
012226
NY
103T00000X
Psychologist
Primary
03781
NJ
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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