Individual
DR. TASHA ANN MOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2048 OAK TREE RD, C/O CENTER FOR HEAD INJURIES, EDISON, NJ 08820-2012
(732) 906-2640
(732) 906-9241
Mailing address
72 PARK AVE, APT. #PHA, HOBOKEN, NJ 07030-3580
(201) 792-9493
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35S100398800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9089900
—
NJ
Enumeration date
11/01/2006
Last updated
07/08/2007
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