Individual
DR. MARYANN D MCCOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
133 JANE ST, ENGLEWOOD, NJ 07631-1631
(201) 344-8313
Mailing address
133 JANE ST, ENGLEWOOD, NJ 07631-1631
(201) 344-8313
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100478100
NJ
Other
Enumeration date
05/17/2010
Last updated
05/17/2010
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