Individual
PATRICIA BASZCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
347 HOSPITAL ROAD, ALLENWOOD, NJ 08720
(732) 938-5250
(732) 919-0538
Mailing address
501 IRON BRIDGE RD, 6, FREEHOLD, NJ 07728-5304
(732) 761-2997
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00422700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067873
—
NJ
Enumeration date
11/17/2006
Last updated
07/08/2007
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