Organization
STATEWIDE CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS A GUERREIRO PSY.D. (CLINICAL DIRECTOR)
(908) 391-7315
Entity
Organization
Contact information
Practice address
386 S MAIN ST, PHILLIPSBURG, NJ 08865-3051
(908) 391-7315
Mailing address
PO BOX 5247, NEWARK, NJ 07105-0247
(908) 391-7315
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00294300
NJ
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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