Individual
DR. TARA R BRANDWEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
446 CAPE MAY ST, ENGLEWOOD, NJ 07631-4721
(201) 541-5535
Mailing address
446 CAPE MAY ST, ENGLEWOOD, NJ 07631-4721
(201) 541-5535
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100432800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090581
—
NJ
Enumeration date
10/28/2006
Last updated
07/08/2007
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