Organization
OASIS GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA T MACK PSY D (DIRECTOR)
(908) 484-7354
Entity
Organization
Contact information
Practice address
3640 VALLEY RD, LIBERTY CORNER, NJ 07938
(908) 484-7354
(973) 912-9050
Mailing address
PO BOX 132, 3640 VALLEY RD, LIBERTY CORNER, NJ 07938-0132
(908) 484-7354
(973) 912-9050
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00308900
NJ
Other
Enumeration date
06/28/2010
Last updated
06/28/2010
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