Organization
ONLINEPSYCHDOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELVIA VALENCIA PSYD (OWNER)
(201) 255-4001
Entity
Organization
Contact information
Practice address
725 RIVER RD STE 32-158, EDGEWATER, NJ 07020-1171
(201) 255-4001
Mailing address
725 RIVER RD STE 32-158, EDGEWATER, NJ 07020-1171
(201) 255-4001
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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