Individual
DR. LARRY W GINGOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
101 CEDAR LN, SUITE 202, TEANECK, NJ 07666-4417
(201) 836-9430
(201) 385-0652
Mailing address
101 CEDAR LN, SUITE 202, TEANECK, NJ 07666-4417
(201) 836-9430
(201) 385-0652
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2254
NJ
103TC0700X
Clinical Psychologist
7760
NY
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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