Individual
DR. MIRIAM LATORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
151 KNOLLCROFT RD, LYONS, NJ 07939-5001
(908) 647-0180
(908) 604-5273
Mailing address
151 STAGER ST, NUTLEY, NJ 07110-2696
(973) 662-9691
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00193200
NJ
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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