Organization
NEURO-PSYCHOLOGICAL CLINIC 1 LLC
Active
Other names
NPC
Organization subpart
No
Provider details
NPI number
Authorized official
MUZNAH MIRZA MS, RD (CO-OWNER)
(973) 204-2423
Entity
Organization
Contact information
Practice address
150 RIVER RD STE L4, MONTVILLE, NJ 07045-8924
(973) 204-2423
Mailing address
10 CONTINENTAL CIR, TOTOWA, NJ 07512-2191
(973) 204-2423
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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