Individual
DR. LOREN B AMSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1200 US HIGHWAY 22, SUITE 2000, BRIDGEWATER, NJ 08807-2943
(908) 203-4614
(908) 200-7790
Mailing address
PO BOX 541, PITTSTOWN, NJ 08867-0541
(908) 200-7791
(908) 200-7790
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS0005728L
PA
103T00000X
Psychologist
Primary
PS005728L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
35S100374700
NJ
103TF0200X
Forensic Psychologist
PS005728L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS00005728L
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS0005728L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117838
BHS
NJ
05
—
8042705
—
NJ
Enumeration date
04/16/2007
Last updated
03/21/2017
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