Individual
DR. PENINA LISA PETCHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2 W NORTHFIELD RD, SUITE 205, LIVINGSTON, NJ 07039-3789
(973) 445-2137
(973) 992-2230
Mailing address
2 W NORTHFIELD RD, SUITE 205, LIVINGSTON, NJ 07039-3789
(973) 445-2137
(973) 992-2230
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100484200
NJ
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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