Individual
DR. MATILDA ANHALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
240 GRAND AVE, ENGLEWOOD, NJ 07631-4352
(201) 410-8221
Mailing address
240 GRAND AVE, ENGLEWOOD, NJ 07631-4352
(201) 410-8221
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
015153
NY
103TC0700X
Clinical Psychologist
Primary
35SI00517500
NJ
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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