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Organization

SELECT PSYCHOLOGICAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DENNIS DECICCO PH.D. (PSYCHOLOGIST)
(201) 327-7755
Entity
Organization

Contact information

Practice address
205 N FRANKLIN TPKE, RAMSEY, NJ 07446-1630
(201) 327-7755
(201) 461-0089
Mailing address
205 N FRANKLIN TPKE, RAMSEY, NJ 07446-1630
(201) 327-7755
(201) 461-0089

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
3233
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1396765178
PSYCHOLOGIST
NJ
Enumeration date
02/15/2007
Last updated
02/06/2018
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