Individual
JOYCE FICHTENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-3600
Mailing address
120 RIDGE DR, MONTVILLE, NJ 07045-9473
(862) 812-3864
(973) 265-4851
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00328800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0056731
—
NJ
Enumeration date
10/11/2005
Last updated
08/11/2020
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