Individual
STEVEN WILLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
100 ALBION ST, PASSAIC, NJ 07055-2604
(973) 919-6619
Mailing address
100 ALBION ST, PASSAIC, NJ 07055-2604
(973) 919-6619
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00374800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35SI00374800
NJ BOARD OF PSYCHOLOGICAL EXAMINERS
NJ
Enumeration date
07/01/2019
Last updated
07/01/2019
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