Individual
ANNA DERBALY-BASENESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
650 FROM RD STE 506, PARAMUS, NJ 07652-3517
(551) 996-8100
(551) 996-4140
Mailing address
650 FROM RD STE 506, PARAMUS, NJ 07652-3517
(551) 996-8100
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00752200
NJ
Other
Enumeration date
07/31/2024
Last updated
06/06/2025
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