Organization
SVR PSYCHOLOGICAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUELLE KLEIN-VON REICHE PAYD (OWNER)
99734600099
Entity
Organization
Contact information
Practice address
777 PASSAIC AVE, 5TH FLOOR, CLIFTON, NJ 07012-1804
(973) 815-0777
Mailing address
777 PASSAIC AVE, SUITE 365, CLIFTON, NJ 07012-1804
(973) 460-0099
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100324600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35S100324600
NJ STATE LICENSE
NJ
Enumeration date
12/03/2014
Last updated
12/03/2014
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