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Individual

DR. MARK VINCENT VERSELLA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
317 GEORGE ST, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8993
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
35SI00687800
NJ
103TB0200X
Cognitive & Behavioral Psychologist
PS019662
PA
103TH0100X
Health Service Psychologist
35SI00687800
NJ
103TH0100X
Health Service Psychologist
PS019662
PA

Other

Enumeration date
08/22/2022
Last updated
05/17/2024
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