Organization
MOUNTAINSIDE NEUROPSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJULI BODAPATI PHD (OWNER)
(908) 913-0462
Entity
Organization
Contact information
Practice address
608 SHERWOOD PKWY STE 2D, MOUNTAINSIDE, NJ 07092-2512
(908) 913-0462
Mailing address
306 WOODS END RD, WESTFIELD, NJ 07090-2908
(845) 797-8390
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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