Individual
DR. RENEE NUSSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., PSYA
Contact information
Practice address
8-04 SUSAN PLACE, FAIR LAWN, NJ 07410
(201) 403-8018
Mailing address
8-04 SUSAN PLACE, FAIR LAWN, NJ 07410
(201) 403-8018
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
NAAP#P111871
—
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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