| Dr Mala Datta, PH,D | |
|
294-298 State St Ste 1, Hackensack, NJ 07601-5544 | |
| (201) 952-9905 | |
| Not Available |
| Full Name | Dr Mala Datta |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 294-298 State St Ste 1, Hackensack, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184812513 | NPI | - | NPPES |
| 01271101 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35S100543600 (New Jersey) | Secondary |
| 103T00000X | Psychologist | 012711 (New York) | Secondary |
| 103T00000X | Psychologist | 01271101 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mala Datta, PH,D 259 Massachusetts Ave Ste 1, Haworth, NJ 07641-1808 Ph: (201) 952-9905 | Dr Mala Datta, PH,D 294-298 State St Ste 1, Hackensack, NJ 07601-5544 Ph: (201) 952-9905 |
Dr. Richard L Bruno, HD PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 151 Prospect Ave, 17a, Hackensack, NJ 07601 Phone: 201-342-6777 Fax: 201-342-6777 | |
Michelle Miller, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 411 Hackensack Ave, Hackensack, NJ 07601 Phone: 201-465-8111 | |
Dr. Linda Terry Mack, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 83 Summit Ave, Hackensack, NJ 07601 Phone: 201-488-6678 Fax: 201-224-0599 | |
Dr. Anne R Farrar-anton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 30 Prospect Ave, Tomorrows Childrens Institute, Hackensack, NJ 07601 Phone: 201-996-5255 Fax: 201-487-7340 | |
Dr. Cynthia Radnitz, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 131 Temple Ave, Center For Psychological Services, Fdu, Hackensack, NJ 07601 Phone: 201-692-2306 Fax: 201-692-2164 | |
Michelle Fanciullo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12 2nd St, Hackensack, NJ 07601 Phone: 551-996-8186 | |
Marisol Habrahamshon, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 83 Summit Ave, Hackensack, NJ 07601 Phone: 201-488-6678 |