Organization
THE PSYCH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN LEGG PSY.D. (CLINICAL PSYCHOLOGIST)
(201) 988-2388
Entity
Organization
Contact information
Practice address
103 RIVER RD STE 101, EDGEWATER, NJ 07020-1016
(201) 308-8995
Mailing address
103 RIVER RD STE 101, EDGEWATER, NJ 07020-1016
(201) 308-8995
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC006208
PA
103TC0700X
Clinical Psychologist
Primary
5576
NJ
Other
Enumeration date
05/20/2016
Last updated
03/14/2017
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