Individual
DR. SAMUEL G. FORLENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
94 VALLEY RD, FIRST FLOOR, MONTCLAIR, NJ 07042-2211
(201) 983-1604
Mailing address
25 PREBLE PL, RUTHERFORD, NJ 07070-2610
(201) 983-1604
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4029
NJ
Other
Enumeration date
08/11/2006
Last updated
07/24/2014
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