Individual
SEAN PRAWDZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
100 HOLLISTER RD UNIT 7, TETERBORO, NJ 07608-1139
(201) 498-9140
Mailing address
100 HOLLISTER RD UNIT 7, TETERBORO, NJ 07608-1139
(201) 498-9140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TS0200X
School Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
05/04/2021
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