Organization
JANE SMITH, MSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN C. FITZPATRICK (PERSONAL ASSISTANT/SECRETARY)
(973) 701-0356
Entity
Organization
Contact information
Practice address
248 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1210
(973) 377-1713
Mailing address
248 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1210
(973) 377-1713
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SC04509700
NJ
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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