Individual
PETER BRAVERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 CHARLES EWING BLVD STE 160, EWING, NJ 08628-3456
(800) 370-3651
(877) 515-7147
Mailing address
600 LIMELIGHT CT, EDISON, NJ 08820-4659
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00481400
NJ
Other
Enumeration date
10/05/2018
Last updated
10/05/2018
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