Individual
DR. RUTH MOLLOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2025 HAMBURG TPKE, SUITE B-1, WAYNE, NJ 07470-6260
(973) 838-4023
Mailing address
611 MOUNTAIN RD, KINNELON, NJ 07405-2128
(973) 838-4023
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
010653-1
NY
103T00000X
Psychologist
Primary
35SI00184900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051369
VALUE OPTIONS
NJ
Enumeration date
10/13/2006
Last updated
07/08/2007
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