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Organization

ELIZABETH A. CIERI, PSY.D. CO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELIZABETH ANNE CIERI PSY.D. (PSYCHOLOGIST)
(973) 509-0090
Entity
Organization

Contact information

Practice address
209 COOPER AVE, SUITE 10 A, UPPER MONTCLAIR, NJ 07043-1883
(973) 509-0090
Mailing address
209 COOPER AVE, SUITE 10 A, UPPER MONTCLAIR, NJ 07043-1883
(973) 509-0090

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3775
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142918
MEDICARE PTAN
NJ
Enumeration date
06/08/2016
Last updated
06/08/2016
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