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Individual

DR. LAURA M. RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
317 GODWIN AVE STE 2, MIDLAND PARK, NJ 07432-1547
(201) 241-2422
(201) 241-2422
Mailing address
317 GODWIN AVE STE 2, MIDLAND PARK, NJ 07432-1547
(201) 241-2422
(201) 241-2422

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
018389
NY
103TC0700X
Clinical Psychologist
Primary
35SI00480300
NJ

Other

Enumeration date
09/25/2006
Last updated
06/03/2020
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