Individual
DR. DARA STACY ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
131 W HIGH ST, SOMERVILLE, NJ 08876-2108
(908) 393-1533
Mailing address
70 OXFORD CT, ENGLISHTOWN, NJ 07726-1571
(732) 446-1588
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4669
NJ
103T00000X
Psychologist
4669
NJ
103TC0700X
Clinical Psychologist
Primary
4669
NJ
Other
Enumeration date
05/07/2009
Last updated
09/03/2009
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