Organization
CONFIDENTIALISTENER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDITH MARIE GREEN LICENSED PROFESSIONA (CEO/PSYCHOTHERAPIST)
(609) 837-9600
Entity
Organization
Contact information
Practice address
106 STRAUBE CTR BLVD STE F112, PENNINGTON, NJ 08534
(609) 837-9600
Mailing address
106 STRAUBE CTR BLVD STE F112, PENNINGTON, NJ 08534
(609) 837-9600
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
37PC00469000
NJ
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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