Organization
PSYCHWELL SENIOR SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZRA COWAN PSYD (OWNER)
(201) 467-6057
Entity
Organization
Contact information
Practice address
6 WOODWARD AVE, CLIFTON, NJ 07012-1227
(201) 467-6057
Mailing address
6 WOODWARD AVE, CLIFTON, NJ 07012-1227
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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