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 |
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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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