Individual
DR. EVAN MICHAEL KROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 STATE ST, SUITE 2D, TEANECK, NJ 07666-5200
(201) 384-6667
Mailing address
100 STATE ST, SUITE 2D, TEANECK, NJ 07666-5200
(201) 384-6667
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4351
NJ
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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