| Marissa Koziar | |
|
138 Beech St Nutley NJ 07110-2116 | |
| (862) 208-9418 | |
| Not Available |
| Full Name | Marissa Koziar |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 138 Beech St, Nutley, New Jersey |
| Authorized Official Name and Position | Marissa Koziar (PSYCHOLOGIST) |
| Authorized Official Contact | 8622089418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Koziar 138 Beech St Nutley NJ 07110-2116 Ph: (862) 208-9418 | Marissa Koziar 138 Beech St Nutley NJ 07110-2116 Ph: (862) 208-9418 |
| NPI Number | 1457774317 |
|---|---|
| Provider Enumeration Date | 01/29/2014 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457774317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00486900 (New Jersey) | Primary |
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