Center For Psychological & Forensic Services INC
Psychologist, Clinical in Fort Lee, NJ. Organization (NPI-2).
NPI number1164559001
StatusActive
Last updated in NPPESMay 10, 2010
Details
- NPI
- 1164559001
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Psychological & Forensic Services INC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- May 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 355100414700 | NJ | Yes |
| 103TC0700X | Psychologist, Clinical | 015506 | NY | |
| 103TC0700X | Psychologist, Clinical | PY6606 | FL |
Practice location
2337 Lemoine Avenue Suite 201Fort Lee, NJ 07024
Phone 201-927-9786 · Fax 201-945-3179
Mailing address
538 Hillcrest AvenueRidgefield, NJ 07657
Phone 201-927-9786 · Fax 201-945-3179
Authorized official
Manuel Antonio Iser
Psyd President
2019279786
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