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Individual

RACHEL KISVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(888) 244-5373
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00492400
NJ
103TC0700X
Clinical Psychologist
PS016906
PA

Other

Enumeration date
03/02/2014
Last updated
12/03/2018
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