Individual
YEDIDA BOMZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5-02 BRYANT PL, FAIR LAWN, NJ 07410-2175
(732) 668-3392
Mailing address
5-02 BRYANT PL, FAIR LAWN, NJ 07410-2175
(732) 668-3392
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00572300
NJ
Other
Enumeration date
10/24/2018
Last updated
10/26/2020
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