Individual
SUSAN ANN ADUBATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 BERGEN ST, ADMC 1608, NEWARK, NJ 07107-3000
(973) 972-7717
(973) 972-6556
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
35SI00226100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1574701
—
NJ
Enumeration date
02/20/2007
Last updated
08/14/2009
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