Organization
SAM KHORRAMI, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM KHORRAMI PH.D. (PRESIDENT)
(732) 278-5615
Entity
Organization
Contact information
Practice address
328 COMMONS WAY, BUILDING C, TOMS RIVER, NJ 08755
(732) 278-5615
Mailing address
PO BOX 269, BRIELLE, NJ 08730
(732) 278-5615
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S10041560
NJ
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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