| Specialized Therapy Associates Llc | |
|
83 Summit Ave 2nd Floor Hackensack NJ 07601-1262 | |
| (201) 488-6678 | |
| (201) 342-4346 |
| Full Name | Specialized Therapy Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 83 Summit Ave, Hackensack, New Jersey |
| Authorized Official Name and Position | Vanessa Gourdine (DIRECTOR) |
| Authorized Official Contact | 2014886678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Therapy Associates Llc Po Box 3016 South Hackensack NJ 07606-1016 Ph: (201) 488-6678 | Specialized Therapy Associates Llc 83 Summit Ave 2nd Floor Hackensack NJ 07601-1262 Ph: (201) 488-6678 |
| NPI Number | 1851637557 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851637557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (New Jersey) | Primary |
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