Organization
SOLACE THERAPY AND EVALUATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA ZARRELLA-TIMMERMAN PSY.D. (LICENSED PSYCHOLOGIST/OWNER)
(848) 218-1601
Entity
Organization
Contact information
Practice address
525 ROUTE 70, SUITE A-3, LAKEWOOD, NJ 08701-5847
(848) 218-1601
Mailing address
525 ROUTE 70, SUITE A-3, LAKEWOOD, NJ 08701-5847
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00566100
NJ
Other
Enumeration date
09/11/2016
Last updated
09/11/2016
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