Individual
ELISE LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 HUDSON AVE, RED BANK, NJ 07701-1907
(732) 530-5584
Mailing address
15 HUDSON AVE, RED BANK, NJ 07701-1907
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/29/2011
Last updated
06/29/2011
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