Organization
CRM PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARIDAD R. MORENO PH.D. (PRESIDENT)
(973) 949-3982
Entity
Organization
Contact information
Practice address
150 LAFAYETTE AVE, HAWTHORNE, NJ 07506-2614
(973) 949-3982
Mailing address
150 LAFAYETTE AVENUE, HAWTHORNE, NJ 07506
(973) 949-3982
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00336800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7184409
—
NJ
Enumeration date
02/14/2008
Last updated
02/14/2008
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