Individual
OLIVIA ROSE MARIE LEWIS CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2424 MORRIS AVENUE, UNION, NJ 07083
(908) 687-7797
(609) 688-1800
Mailing address
2424 MORRIS AVENUE, UNION, NJ 07083
(908) 687-7797
(609) 688-1800
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NJ3615
NJ
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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