James L. Fosshage PH.D.

NPI 1649441155 - Psychologist - 103T00000X

NPI Details
NPI 1649441155
Gender Male
Enumeration Date 03/12/2008
Last Updated 03/12/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
16 POPLAR RD
DEMAREST NJ, 07627-1310, US
Phone (201) 768-3924
Fax (201) 750-1616
Business Location
16 POPLAR RD
DEMAREST NJ, 07627-1310, US
Phone (201) 768-3924
Fax (201) 750-1616
Toxanomy
Taxonomy Code 103T00000X
License State New Jersey
License Number 35S100081100
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According to our database, Dr. James L. Fosshage PH.D. NPI is 1649441155, taxonomy code is 103T00000X and license number is 35S100081100, license state is located at New Jersey. James L. Fosshage PH.D. physically located at 16 Poplar Rd, Demarest NJ, 07627-1310. NPI Number James L. Fosshage PH.D. has the Individual type.

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1649441155 NPI number is provided on an as is basis without warranty of any kind. 1649441155 is maintained by the National Plan & Provider Enumeration System. The contents of James L. Fosshage PH.D. are for informational purposes only.