Organization
CARA CHURCH, PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARA CHURCH PH.D. (CLINICAL PSYCHOLOGIST)
(732) 856-3166
Entity
Organization
Contact information
Practice address
255 SHORE DR, #7, HIGHLANDS, NJ 07732-1568
(732) 856-3166
Mailing address
255 SHORE DR, #7, HIGHLANDS, NJ 07732-1568
(732) 856-3166
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
35S100566400
NJ
103TC0700X
Clinical Psychologist
Primary
35S100566400
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
35S100566400
NJ
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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