Individual
MS. ALISA FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HENDRICKSON CT, MANALAPAN, NJ 07726-7900
(732) 456-3399
(732) 414-1825
Mailing address
15 HENDRICKSON CT, MANALAPAN, NJ 07726-7900
(732) 456-3399
(732) 414-1825
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NJ
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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