Aiyanna I Archer
Psychologist in Westampton, NJ. Individual provider (NPI-1).
NPI number1982121133
StatusActive
Last updated in NPPESOct 4, 2022
Details
- NPI
- 1982121133
- Entity type
- Individual (NPI-1)
- Name
- Aiyanna I Archer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2017
- Certification date
- Oct 4, 2022
- Last updated
- Oct 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | A0828 | MD | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
770 Woodlane RdWestampton, NJ 08060-3804
Phone 609-267-5928
Mailing address
770 Woodlane RdWestampton, NJ 08060-3804
Phone 609-267-5928
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