Individual
MS. MELISSA F ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SCHOOL PSYCHOLOGIST
Contact information
Practice address
1470 CAMPBELL ST, S110, RAHWAY, NJ 07065-3256
(732) 428-4465
Mailing address
1470 CAMPBELL ST, S110, RAHWAY, NJ 07065-3256
(732) 428-4465
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1640070
NY
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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