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Individual

LISA MARIE YANNUCCI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
215 GORDONS CORNER RD STE 2F, MANALAPAN, NJ 07726-3352
(732) 898-0477
(732) 898-0477
Mailing address
215 GORDONS CORNER RD STE 2F, MANALAPAN, NJ 07726-3352
(732) 898-0477
(732) 898-0477

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100549400
NJ
103TC0700X
Clinical Psychologist
35SI00549400
NJ

Other

Enumeration date
01/05/2010
Last updated
11/04/2024
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