Individual
DR. JANEIDE ALANE CHILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 BALL ST, IRVINGTON, NJ 07111-3464
(973) 930-6836
Mailing address
123 BALL ST, IRVINGTON, NJ 07111-3464
(973) 375-5295
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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