Organization
SOMERSET PSYCHOLOGICAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN HISCOX PHD (DIRECTOR/LICENSED PSYCHOLOGIST)
(908) 285-3038
Entity
Organization
Contact information
Practice address
134 W END AVE, SOMERVILLE, NJ 08876-1816
(908) 285-3038
Mailing address
134 W END AVE, SOMERVILLE, NJ 08876-1816
(908) 285-3038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
432
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00396300
NJ
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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