Individual
DR. JERI ISAACSON WILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
49 PARK ST, MONTCLAIR, NJ 07042-3439
(973) 783-0784
Mailing address
49 PARK ST, MONTCLAIR, NJ 07042-3439
(973) 783-9784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PERMIT # 083-914
NJ
103TC0700X
Clinical Psychologist
Primary
PSY 13974
CA
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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