Organization
COMPREHENSIVE PSYCHOLOGY SYSTEM PC
Active
Other names
Lifespan
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA CATHERINE WATKINS-SICA (ADMINISTRATOR)
(732) 988-3441
Entity
Organization
Contact information
Practice address
4000 STATE ROUTE 66 STE 331, TINTON FALLS, NJ 07753-7300
(732) 988-4431
(732) 988-7123
Mailing address
4000 ROUTE 66 STE 331, TINTON FALLS, NJ 07753-7300
(732) 988-3441
(732) 988-7123
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
NJ
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
3SS100151900
NJ
103T00000X
Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
NJ
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
03/29/2007
Last updated
01/08/2025
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