Organization
RED BANK NEUROREHABILITATION ASSOCIATES, LLC
Active
Organization
RED BANK NEUROREHABILITATION ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH MARCANTUONO PH.D. (CLINICAL PSYCHOLOGIST/PARTNER)
(908) 692-9485
Entity
Organization
Contact information
Practice address
12 RECKLESS PL, RED BANK, NJ 07701-1704
(908) 692-9485
Mailing address
12 RECKLESS PL, RED BANK, NJ 07701-1704
(908) 692-9485
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
07/26/2012
Last updated
11/07/2012
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