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Individual

COLLEEN M PERUO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
C.P.

Contact information

Practice address
1314 BROAD ST, CLIFTON, NJ 07013-4220
(973) 779-1107
(973) 779-4555
Mailing address
1314 BROAD ST, CLIFTON, NJ 07013-4220
(973) 779-1107
(973) 779-4555

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
SI3181
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6260306
NJ
Enumeration date
12/19/2006
Last updated
02/24/2021
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