Individual
DR. PAUL STEVEN PORETZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
311 BEECHWOOD PL, LEONIA, NJ 07605-1712
(201) 585-1409
(201) 585-7948
Mailing address
311 BEECHWOOD PL, LEONIA, NJ 07605-1712
(201) 585-1409
(201) 585-7948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2834
LICENSE
NJ
01
—
9910
LICENSE
NY
Enumeration date
09/02/2006
Last updated
07/08/2007
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