Organization
DATCHI PSYCHOLOGY AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINNE CECILE DATCHI PHD, ABPP (SINGLE OWNER)
(812) 360-5143
Entity
Organization
Contact information
Practice address
35 DEFOREST AVE, SUMMIT, NJ 07901-2155
(812) 360-5143
Mailing address
1480 PLEASANT VALLEY WAY, 15, WEST ORANGE, NJ 07052-1300
(812) 360-5143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00535000
NJ
106H00000X
Marriage & Family Therapist
35SI00535000
NJ
Other
Enumeration date
08/30/2015
Last updated
08/30/2015
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