Individual
DR. SHIRA R FREUDENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
115 ELMWOOD AVE, PASSAIC, NJ 07055-2410
(973) 778-6320
Mailing address
115 ELMWOOD AVE, PASSAIC, NJ 07055-2410
(973) 778-6320
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI 00494700
NJ
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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