Individual
DR. ALLISON J SHALE DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST (PSY.D)
Contact information
Practice address
82 E ALLENDALE RD STE 2B, SADDLE RIVER, NJ 07458-3057
(201) 477-8178
Mailing address
82 E ALLENDALE RD STE 2B, SADDLE RIVER, NJ 07458-3057
(201) 477-8178
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5389
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID
NY
01
—
1285628552
AGENCY NPI
NY
01
—
WVE061
AGENCY MEDICARE
NY
Enumeration date
10/12/2012
Last updated
11/12/2019
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