Individual
GLENN R. CANDELETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
535 LACEY RD, SUITE 6, FORKED RIVER, NJ 08731-1533
(609) 693-7903
Mailing address
535 LACEY RD, SUITE 6, FORKED RIVER, NJ 08731-1533
(609) 693-7903
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00202900
NJ
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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