| Mark S. Sofair-fisch, Phd | |
|
2737 Princeton Pike Lawrenceville NJ 08648-3220 | |
| (609) 883-2577 | |
| (609) 883-2092 |
| Full Name | Mark S. Sofair-fisch, Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2737 Princeton Pike, Lawrenceville, New Jersey |
| Authorized Official Name and Position | Mark S. Sofair-fisch (PSYCHOLOGIST) |
| Authorized Official Contact | 9736693333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S. Sofair-fisch, Phd 5 Ellis St West Orange NJ 07052-3612 Ph: (973) 669-3333 | Mark S. Sofair-fisch, Phd 2737 Princeton Pike Lawrenceville NJ 08648-3220 Ph: (609) 883-2577 |
| NPI Number | 1750413217 |
|---|---|
| Provider Enumeration Date | 03/11/2007 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750413217 | NPI | - | NPPES |
| 469819000 | Other | NJ | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC000043500 (New Jersey) | Secondary |
| 103TC0700X | Psychologist - Clinical | 35S100432500 (New Jersey) | Primary |
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