Organization
EXTENSIVE PSYCHOLOGICAL SERVICES,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL MONACI FAHAD PHD (PRESIDENT)
(732) 996-2863
Entity
Organization
Contact information
Practice address
20 GIBSON PL STE 206, FREEHOLD, NJ 07728-4837
(732) 483-4425
(732) 483-4427
Mailing address
20 GIBSON PL STE 206, FREEHOLD, NJ 07728-4837
(732) 483-4425
(732) 483-4427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00021400
NJ
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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