Individual
DR. AIDA A ISMAEL-LENNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
2446 CHURCH RD, TOMS RIVER, NJ 08753-8182
(732) 255-7553
Mailing address
59 MANOR RD, TOMS RIVER, NJ 08753-2417
(732) 664-4453
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100536800
NJ
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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