Organization
MARTINA S DAWOUD PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA DAWOUD PSYD (OWNER)
(551) 294-3732
Entity
Organization
Contact information
Practice address
155 POLIFLY RD STE 301, HACKENSACK, NJ 07601-1749
(551) 294-3732
Mailing address
155 POLIFLY RD STE 301, HACKENSACK, NJ 07601-1749
(551) 294-3732
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35SI00694200
STATE LICENSE
NJ
Enumeration date
02/01/2023
Last updated
07/20/2023
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