Individual
DR. CANDRICK C. DARKASHADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 ROSEVILLE AVE, NEWARK, NJ 07107-1703
(973) 481-2200
Mailing address
610 FOREST VIEW DRIVE, AVENEL, NJ 07001
(848) 467-1409
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
173-040
NJ
Other
Enumeration date
08/13/2017
Last updated
03/17/2018
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