Organization
JESSICA AUTH, PHD LLC
Active
Other names
JESSICA AUTH PHD
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA AUTH PHD (MANAGING MEMBER)
(917) 743-2755
Entity
Organization
Contact information
Practice address
697 VALLEY ST STE 1C, MAPLEWOOD, NJ 07040-2641
(917) 743-2755
Mailing address
51 HEADLEY PL, MAPLEWOOD, NJ 07040-1134
(917) 743-2755
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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