Individual
ERIN LACY MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
210 W FRONT ST, SUITE 208, RED BANK, NJ 07701-1155
(732) 779-1725
Mailing address
210 W FRONT ST, SUITE 208, RED BANK, NJ 07701-1155
(732) 779-1725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
017925
NY
103TC0700X
Clinical Psychologist
Primary
35S100509700
NJ
Other
Enumeration date
11/15/2007
Last updated
10/20/2014
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