Organization
INGENIUM NEUROPSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANNA MARIE SALMON PHD, MBA (CLINICAL NEUROPSYCHOLOGIST)
(617) 895-8970
Entity
Organization
Contact information
Practice address
51 CHESTNUT ST, SUITE 4, RIDGEWOOD, NJ 07450-3873
(617) 895-8970
Mailing address
51 CHESTNUT ST, SUITE 4, RIDGEWOOD, NJ 07450-3873
(617) 895-8970
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
35SI00498300
NJ
Other
Enumeration date
02/23/2017
Last updated
02/25/2017
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