Individual
DR. ROSEMARIE CICCARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
33 PLYMOUTH ST, SUITE 208, MONTCLAIR, NJ 07042-2677
(973) 744-1600
(973) 744-3305
Mailing address
33 PLYMOUTH ST, SUITE 208, MONTCLAIR, NJ 07042-2677
(973) 744-1600
(973) 744-3305
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3845
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
753174764
FEDERAL TAX ID
—
Enumeration date
04/13/2007
Last updated
09/21/2011
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