| The Human Growth Center Of New Jersey Inc | |
|
1033 Us Highway 46 Ste 106 Clifton NJ 07013-2448 | |
| (973) 473-0800 | |
| (973) 473-8058 |
| Full Name | The Human Growth Center Of New Jersey Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1033 Us Highway 46 Ste 106, Clifton, New Jersey |
| Authorized Official Name and Position | Konstantin Mouhtis (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9734730800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Human Growth Center Of New Jersey Inc 1033 Us Highway 46 Ste 106 Clifton NJ 07013-2448 Ph: (973) 473-0800 | The Human Growth Center Of New Jersey Inc 1033 Us Highway 46 Ste 106 Clifton NJ 07013-2448 Ph: (973) 473-0800 |
| NPI Number | 1255464764 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255464764 | NPI | - | NPPES |
| SIO3346 | Other | NJ | LICENSED PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | SIO3346 (New Jersey) | Primary |
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