Organization
ADVANCE THRU PSYCHOTHERAPY & FAMILY DEVELOPMENT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA SOFAIR-FISCH PHD (PSYCHOLOGIST)
(609) 883-2577
Entity
Organization
Contact information
Practice address
2737 PRINCETON PIKE, LAWRENCEVILLE, NJ 08648-3220
(609) 883-2577
(609) 883-2092
Mailing address
2737 PRINCETON PIKE, LAWRENCEVILLE, NJ 08648-3220
(609) 883-2577
(609) 883-2092
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100165100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0504980000
AMERIHEALTH INDEPENDENCE
NH
01
—
051524
VALUE OPTIONS
NJ
01
—
16146
CIGNA
NJ
01
—
41024000
MAGELLAN
NJ
01
—
AETNA
3497258
NJ
01
—
P402017
OXFORD
NJ
01
—
V5704
EMPIRE BLUE CROSS SHIELD
NJ
Enumeration date
03/11/2007
Last updated
07/11/2011
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