| Althea Lazzara Psyd Llc | |
|
48 Mountainview Blvd Wayne NJ 07470-6766 | |
| (973) 981-7576 | |
| Not Available |
| Full Name | Althea Lazzara Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 48 Mountainview Blvd, Wayne, New Jersey |
| Authorized Official Name and Position | Althea D Lazzara (SOLE MEMBER) |
| Authorized Official Contact | 9739817576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Althea Lazzara Psyd Llc 48 Mountainview Blvd Wayne NJ 07470-6766 Ph: (973) 981-7576 | Althea Lazzara Psyd Llc 48 Mountainview Blvd Wayne NJ 07470-6766 Ph: (973) 981-7576 |
| NPI Number | 1962646158 |
|---|---|
| Provider Enumeration Date | 05/01/2009 |
| Last Update Date | 05/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962646158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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