Organization
KENNETH R. SUCKERMAN, PH.D., P.A.
Active
Other names
East Brunswick Psychological Asssociates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH R. SUCKERMAN PH.D. (PRESIDENT)
(732) 238-9400
Entity
Organization
Contact information
Practice address
G9 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3338
(732) 238-9400
Mailing address
G9 BRIER HILL CT, EAST BRUNSWICK, NJ 08816-3338
(732) 238-9400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00138800
NJ
Other
Enumeration date
03/10/2007
Last updated
07/15/2007
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