Individual
DR. GUITY FAZELPOOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
246 EDISON ST, CLIFTON, NJ 07013-1358
(973) 904-0499
Mailing address
246 EDISON ST, CLIFTON, NJ 07013-1358
(973) 904-0499
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100362200
NJ
Other
Enumeration date
07/09/2006
Last updated
07/08/2007
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