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Individual

DR. GLYN EISENHAUER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH. D.

Contact information

Practice address
629 NEWARK POMPTON TPKE, POMPTON PLAINS, NJ 07444-1732
(973) 839-5984
(973) 835-2321
Mailing address
114 KENWORTHEY RD, SHOHOLA, PA 18458-4336
(570) 296-2632

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
37F100096900
NJ

Other

Enumeration date
03/15/2006
Last updated
07/08/2007
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