Individual
DR. SHOSHANA SPERLING TENNENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
33-01 FAIR LAWN AVE, FAIR LAWN, NJ 07410-4324
(917) 446-3559
Mailing address
4 MCNEAL CT, WEST ORANGE, NJ 07052-3665
(973) 243-0246
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35S100429500
NJ
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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