Organization
ANNANDALE SQUARE COUNSELING CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD REIDAR WIDTH (OFFICE MANAGER)
(908) 832-7502
Entity
Organization
Contact information
Practice address
67 BEAVER AVE, SUITE 10, ANNANDALE, NJ 08801-3071
(908) 238-0065
(908) 238-0067
Mailing address
67 BEAVER AVE, SUITE 10, ANNANDALE, NJ 08801-3071
(908) 238-0065
(908) 238-0067
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100389600
NJ
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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