Individual
DR. WALTER GLENN FLOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
525 ROUTE 70, SUITE A-3, LAKEWOOD, NJ 08701-5847
(732) 364-0040
(732) 364-0171
Mailing address
525 ROUTE 70, SUITE A-3, LAKEWOOD, NJ 08701-5847
(732) 364-0040
(732) 364-0171
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00224300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0912994
SOURCE IDENTIFICATION NUM
NJ
Enumeration date
10/05/2007
Last updated
09/15/2010
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