Individual
ELIZABET SANTANA MARMONHALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
70 PARK ST, MONTCLAIR, NJ 07042-5907
(973) 746-4555
Mailing address
70 PARK ST, MONTCLAIR, NJ 07042-5907
(973) 746-4555
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00624700
NJ
Other
Enumeration date
03/30/2020
Last updated
04/14/2021
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