Organization
MEZA BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEISSY MEZA PH.D. (PRESIDENT)
(201) 898-1115
Entity
Organization
Contact information
Practice address
40 EDGEMONT CRESCENT, WAYNE, NJ 07470
(201) 898-1115
Mailing address
40 EDGEMONT CRESCENT, WAYNE, NJ 07470
(201) 898-1115
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
16213-1
NY
103TC0700X
Clinical Psychologist
Primary
355100446100
NJ
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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