Individual
DR. ALAN A CAVAIOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3100 STATE ROUTE 138, BLDG 2 STE 2, WALL, NJ 07719-9021
(732) 779-3359
Mailing address
3100 HWY 138 WEST, BLDG 2, WALL TOWNSHIP, NJ 07719-9021
(732) 747-8480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35SI00243400
NJ
103TA0400X
Addiction (Substance Use Disorder) Psychologist
35SI00243400
NJ
103TC0700X
Clinical Psychologist
Primary
35SI00243400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992971873
NPI
NJ
Enumeration date
05/01/2008
Last updated
05/07/2024
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