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Organization

NEUROREHAB INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NADIA SOLEDAD MENDEZ (ADMINISTRATOR)
(973) 223-7079
Entity
Organization

Contact information

Practice address
111 HOWARD BLVD, SUITE 204, MT ARLINGTON, NJ 07856-1315
(973) 601-0100
(973) 398-2211
Mailing address
PO BOX 26, CHESTER, NJ 07930-0026
(973) 601-0100
(973) 398-2211

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35SI00333800
NJ
103T00000X
Psychologist
SI 03721
NJ
103TC0700X
Clinical Psychologist
Primary
35S100448700
NJ

Other

Enumeration date
01/31/2008
Last updated
05/20/2009
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