Organization
UNIVERSITY PHYSICIAN ASSOCIATES OF NEW JERSEY, INC.
Active
Other names
University Psychology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HAIER (CEO)
(973) 972-9503
Entity
Organization
Contact information
Practice address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
(973) 972-0037
(973) 972-9355
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5313309
—
NJ
Enumeration date
02/06/2008
Last updated
07/15/2021
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