Individual
DR. LAURA BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
60 W RIDGEWOOD AVE, RIDGEWOOD, NJ 07450-3197
(201) 444-2664
(201) 444-2490
Mailing address
420 BEDFORD RD, RIDGEWOOD, NJ 07450-1200
(201) 444-8290
(201) 444-2490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2983
NJ
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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