Organization
BERGEN PSYCHOTHERAPY & NEUROPSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANA ALYCE TIERSKY PH.D. (DIRECTOR)
(201) 574-7205
Entity
Organization
Contact information
Practice address
17 S FRANKLIN TPKE STE 2, RAMSEY, NJ 07446-2536
(201) 574-7205
Mailing address
17 S FRANKLIN TPKE STE 2, RAMSEY, NJ 07446-2536
(201) 574-7205
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/24/2019
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