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Individual

LETITIA PICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1314 HOOPER AVE, TOMS RIVER, NJ 08753
(609) 991-1222
Mailing address
388 LAKEHURST RD STE 2A, TOMS RIVER, NJ 08755-7340
(609) 930-2242

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
5848
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00438238
CERTIFICATION NUMBER
NJ
Enumeration date
11/29/2012
Last updated
07/21/2022
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