Organization
VANESSA MARCANTUONO, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA MARCANTUONO PH.D. (OWNER)
(973) 652-1324
Entity
Organization
Contact information
Practice address
12 RECKLESS PL, RED BANK, NJ 07701-1704
(973) 652-1324
Mailing address
108 MONMOUTH BLVD, OCEANPORT, NJ 07757-1623
(973) 652-1324
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00411500
NJ
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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