Individual
MISS RUTH STREETER MESNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
12 2ND ST, HACKENSACK, NJ 07601-2009
(551) 996-8056
(551) 996-8194
Mailing address
12 2ND ST, HACKENSACK, NJ 07601-2009
(551) 996-8056
(551) 996-8194
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00753000
NJ
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/23/2013
Last updated
01/02/2025
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