Individual
DR. WAYNE S TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
48 MAPLE AVE, MORRISTOWN, NJ 07960-5218
(973) 267-5586
(973) 540-0084
Mailing address
48 MAPLE AVE, MORRISTOWN, NJ 07960-5218
(973) 267-5586
(973) 540-0084
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00158900
NJ
Other
Enumeration date
12/21/2006
Last updated
10/16/2007
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