Organization
ELISSA KOPLIK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA K KOPLIK PHD (PRESIDENT)
(732) 613-0465
Entity
Organization
Contact information
Practice address
161 S MAIN ST, MILLTOWN, NJ 08850-1800
(732) 246-4446
Mailing address
161 S MAIN ST, MILLTOWN, NJ 08850-1800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00401600
NJ
Other
Enumeration date
07/19/2007
Last updated
05/08/2008
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