Organization
GERIATRIC PSYCHOLOGICAL SERVICES OF NEW JERSEY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY W WELLES ED.D (PSYCHOLOGIST)
(914) 409-7632
Entity
Organization
Contact information
Practice address
43 MAPLE AVE, 2ND FLOOR SLOT 10, MORRISTOWN, NJ 07960-7508
(914) 409-7632
Mailing address
11835 QUEENS BLVD, SUITE 1403, FOREST HILLS, NY 11375-7200
(718) 268-6600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00169400
NJ
Other
Enumeration date
01/09/2013
Last updated
01/09/2013
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