Individual
DR. SYLVIA FASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10 ASH LN, RANDOLPH, NJ 07869-4757
(973) 895-5180
(973) 895-5478
Mailing address
10 ASH LN, RANDOLPH, NJ 07869-4757
(973) 895-5180
(973) 895-5478
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00236800
NJ
Other
Enumeration date
07/31/2006
Last updated
08/24/2010
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