Organization
CENTER FOR PSYCHOLOGY AND COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLEN A. LACY PSY.D. (LICENSED PSYCHOLOGIST)
(732) 821-6810
Entity
Organization
Contact information
Practice address
3186 STATE ROUTE 27, SUITE 101, KENDALL PARK, NJ 08824-1513
(732) 821-6810
Mailing address
PO BOX 1458, HIGHLAND PARK, NJ 08904-1458
(732) 821-6810
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00131100
NJ
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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