Individual
PROF. PATRICIA GAIL DE POL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.. ED.S., LFMT
Contact information
Practice address
570 W MOUNT PLEASANT AVE, LIVINGSTON, NJ 07039-1688
(973) 740-1262
Mailing address
770 ANDERSON AVE, SUITE 19M, CLIFFSIDE PARK, NJ 07010-2177
(201) 886-9283
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37FI00115000
NJ
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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