Organization
ALTHEA LAZZARA PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTHEA D LAZZARA PSYD (SOLE MEMBER)
(973) 981-7576
Entity
Organization
Contact information
Practice address
48 MOUNTAINVIEW BLVD, WAYNE, NJ 07470-6766
(973) 981-7576
Mailing address
48 MOUNTAINVIEW BLVD, WAYNE, NJ 07470-6766
(973) 981-7576
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/01/2009
Last updated
05/06/2015
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