Individual
DR. VANESSA MARCANTUONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 RECKLESS PL, RED BANK, NJ 07701-1704
(973) 652-1324
Mailing address
108 MONMOUTH BLVD, OCEANPORT, NJ 07757-1623
(732) 483-6935
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00411500
NJ
Other
Enumeration date
08/28/2006
Last updated
07/26/2012
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