Organization
LIFESPAN NEUROPSYCHOLOGY AND COUNSELING CENTER, LLC
Active
Organization
LIFESPAN NEUROPSYCHOLOGY AND COUNSELING CENTER, LLC
Active
Other names
Lifespan Neuropsychology and Clinical Neuroscience, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGIANNA DART PSY.D. (OWNER)
(908) 472-1255
Entity
Organization
Contact information
Practice address
2060 OAK TREE RD, 3RD FLOOR, EDISON, NJ 08820
(908) 472-1255
(848) 200-7713
Mailing address
2060 OAK TREE RD, 3RD FLOOR, EDISON, NJ 08820
(908) 472-1255
(848) 200-7713
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4987
NJ
Other
Enumeration date
12/29/2017
Last updated
11/27/2019
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