Individual
NICHOLAS NESTOR PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1683 NJ-88, BRICK, NJ 08724
(732) 840-5266
Mailing address
187 RUTGERS RD, PISCATAWAY, NJ 08854-3445
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
213-074
—
103TC0700X
Clinical Psychologist
213-074
NJ
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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