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Individual

DR. BRIAN AMORELLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D., LPC

Contact information

Practice address
20 WILSEY SQ, RIDGEWOOD, NJ 07450-3793
(973) 767-9384
Mailing address
100 SOUTH PKWY, CLIFTON, NJ 07014-1412
(973) 767-9384

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00500500
NJ
103T00000X
Psychologist
Primary
35SI00589000
NJ

Other

Enumeration date
07/20/2017
Last updated
03/17/2018
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