Organization
THE VESTIBULAR PSYCHOLOGIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILY KOSTELNIK PHD (OWNER)
(000) 000-0000
Entity
Organization
Contact information
Practice address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(000) 000-0000
Mailing address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/11/2022
Last updated
11/11/2022
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