Jenise Lum, PhD
Psychologist, Clinical in Brick, NJ. Individual provider (NPI-1).
NPI number1164057923
StatusActive
Last updated in NPPESMar 11, 2020
Details
- NPI
- 1164057923
- Entity type
- Individual (NPI-1)
- Name
- Jenise Lum
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2020
- Certification date
- Mar 11, 2020
- Last updated
- Mar 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 35SI00623100 | NJ | Yes |
| 103G00000X | Clinical Neuropsychologist | – | – |
Practice location
1683 Route 88 WBrick, NJ 08724-3072
Phone 732-840-5266
Mailing address
1683 Route 88 WBrick, NJ 08724-3072
Phone 732-840-5266
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