Individual
JUSTINE BATES-KRAKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1088 W BALTIMORE PIKE, MEDIA, PA 19063-5146
(610) 744-2960
Mailing address
20 LAKE PARK DR, PISCATAWAY, NJ 08854-5124
(732) 763-8541
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
024322
NY
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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