Individual
ANDREA R. FOOTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1075 EASTON AVE, SOMERSET, NJ 08873-1648
(732) 259-7191
Mailing address
10 HAZEL AVE, EDISON, NJ 08820-3255
(732) 259-7191
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3871
NJ
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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