Organization
PSYLENT VICTORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERALD CILENTE PHD (OWNER)
(732) 687-6240
Entity
Organization
Contact information
Practice address
301 ROUTE 9 N, FREEHOLD, NJ 07728-8562
(732) 687-6240
Mailing address
301 ROUTE 9 N, FREEHOLD, NJ 07728-8562
(732) 687-6240
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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