Organization
SPECIALIZED THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANESSA GOURDINE PSY. D. (CLINICAL DIRECTOR)
(201) 488-6678
Entity
Organization
Contact information
Practice address
83 SUMMIT AVE, HACKENSACK, NJ 07601-1262
(201) 488-6678
(201) 224-0599
Mailing address
83 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 488-6678
(201) 224-0599
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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