Individual
DR. GAUTAM BHASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
185 CEDAR LN STE U6, TEANECK, NJ 07666-4303
(201) 836-3000
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00627400
NJ
103TR0400X
Rehabilitation Psychologist
023210-1
NY
Other
Enumeration date
05/10/2019
Last updated
04/11/2023
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