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Organization

THE NEURODIVERSITY COLLECTIVE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JULIA HODGSON PSYD (COFOUNDER)
(732) 639-8271
Entity
Organization

Contact information

Practice address
22 MOUNTAINVIEW RD, SUCCASUNNA, NJ 07876-1242
(732) 639-8271
Mailing address
22 MOUNTAINVIEW RD, SUCCASUNNA, NJ 07876-1242
(732) 639-8271

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
04/14/2025
Last updated
04/14/2025
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