Individual
DR. FRED R EISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
225 GORDONS CORNER RD, SUITE 2A, MANALAPAN, NJ 07726-3342
(732) 446-7167
(732) 446-6287
Mailing address
225 GORDONS CORNER RD, SUITE 2A, MANALAPAN, NJ 07726-3342
(732) 446-7167
(732) 446-6287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00278400
NJ
Other
Enumeration date
01/29/2007
Last updated
12/05/2011
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