Individual
DR. LINDSAY PETOUVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
171 FRANKLIN TPKE STE 205, WALDWICK, NJ 07463-1843
(201) 236-0709
Mailing address
171 FRANKLIN TPKE STE 205, WALDWICK, NJ 07463-1843
(201) 236-0709
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
35SI00541300
NJ
103T00000X
Psychologist
020818-1
NY
103T00000X
Psychologist
Primary
35SI00541300
NJ
103TB0200X
Cognitive & Behavioral Psychologist
35SI00541300
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00541300
NJ
103TS0200X
School Psychologist
35SI00541300
NJ
Other
Enumeration date
04/22/2016
Last updated
11/22/2024
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