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Organization

AUTISM DIAGNOSIS GROUP, NJ PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHOBHAN THAKKAR (CHIEF FINANCIAL OFFICER)
(210) 692-4498
Entity
Organization

Contact information

Practice address
221 RIVER ST STE 9, HOBOKEN, NJ 07030-5990
(210) 595-0729
Mailing address
6340 N. ELDRIDGE PKWY., STE N, #423, HOUSTON, TX 77041
(210) 595-0729

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
103TC0700X
Clinical Psychologist
Primary
103TM1800X
Intellectual & Developmental Disabilities Psychologist

Other

Enumeration date
02/26/2024
Last updated
02/12/2025
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