| Corner Psychological Llc | |
|
201 S Livingston Ave Livingston NJ 07039-4043 | |
| (862) 926-8476 | |
| Not Available |
| Full Name | Corner Psychological Llc |
|---|---|
| Speciality | Psychologist |
| Location | 201 S Livingston Ave, Livingston, New Jersey |
| Authorized Official Name and Position | Lisa M Bracamonte (CEO) |
| Authorized Official Contact | 8629268476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corner Psychological Llc 14 Washington Ave West Caldwell NJ 07006 Ph: (862) 926-8476 | Corner Psychological Llc 201 S Livingston Ave Livingston NJ 07039-4043 Ph: (862) 926-8476 |
| NPI Number | 1932922689 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 02/07/2025 |
| Certification Date | 02/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932922689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
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