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Individual

DR. ELLEN JANE WHALEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D

Contact information

Practice address
359 EAGLE ROCK AVE, WEST ORANGE, NJ 07052
(888) 284-2034
Mailing address
1154 PAPEN RD, BRIDGEWATER, NJ 08807-1232
(908) 392-4122

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
103TC1900X
Counseling Psychologist
35S100609000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0023701
NJ
Enumeration date
05/16/2015
Last updated
07/21/2019
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