Individual
DR. LUCIENE (LUCY) SANT'ANNA TAKAGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
882 POMPTON AVE STE A1, CEDAR GROVE, NJ 07009-1256
(973) 239-0852
(973) 239-2597
Mailing address
882 POMPTON AVE STE A1, CEDAR GROVE, NJ 07009-1256
(973) 239-0852
(973) 239-2597
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
19014-1
NY
103TC0700X
Clinical Psychologist
Primary
4936
NJ
Other
Enumeration date
04/28/2012
Last updated
04/28/2012
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