Individual
SARAH L SEVERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
31 LEROY PL, RED BANK, NJ 07701-1711
(732) 924-5104
Mailing address
31 LEROY PL, RED BANK, NJ 07701-1711
(732) 924-5104
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
019341
NY
103G00000X
Clinical Neuropsychologist
Primary
35SI00502500
NJ
103T00000X
Psychologist
019341
NY
103T00000X
Psychologist
35SI00502500
NJ
Other
Enumeration date
04/27/2013
Last updated
04/17/2015
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