Individual
SCOTT RANDALL THIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018-1023
(973) 676-1000
Mailing address
66 A FOREST DRIVE, SPRINGFIELD, NJ 07081
(908) 377-5802
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
024187
NY
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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