Individual provider · NPI-1

Vidal Annan

Psychologist · Newark, NJ

NPI number1013171917
StatusActive
Last updated in NPPESJul 10, 2008

Details

NPI
1013171917
Entity type
Individual (NPI-1)
Name
Vidal Annan
Sex
Male
Sole proprietor
No
Enumeration date
Jul 10, 2008
Last updated
Jul 10, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes

Practice location

183 South Orange Ave
Newark, NJ 07103

Phone 800-969-5300

Mailing address

671 Hoes Ln W
Piscataway, NJ 08854-8021

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