Individual provider · NPI-1

Susan Ann Adubato, PhD

Psychologist, Clinical Child & Adolescent · Newark, NJ

NPI number1730224601
StatusActive
Last updated in NPPESAug 14, 2009

Details

NPI
1730224601
Entity type
Individual (NPI-1)
Name
Susan Ann Adubato
Credential
PhD
Sex
Female
Sole proprietor
No
Enumeration date
Feb 20, 2007
Last updated
Aug 14, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TC2200X Psychologist, Clinical Child & Adolescent35SI00226100NJYes

Practice location

30 Bergen St
Admc 1608
Newark, NJ 07107-3000

Phone 973-972-7717 · Fax 973-972-6556

Mailing address

30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000

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