Organization
CORNERSTONE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYDNEY JANE TERRERI PHD (PSYCHOLOGIST, REGISTERED AGENT)
(732) 773-8435
Entity
Organization
Contact information
Practice address
1540 ROUTE 138, BUILDING 2, SUITE 201, WALL TOWNSHIP, NJ 07719-3763
(732) 778-5009
Mailing address
1612 SHERIDAN DR, WALL TOWNSHIP, NJ 07753-7019
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
35SI00497400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932531563
INDIVIDUAL PROVIDER (TYPE 1) NPI
—
Enumeration date
04/25/2017
Last updated
04/25/2017
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