Bergen Psychological Services, Llc

NPI 1083040232 - Psychologist - 103TC0700X

NPI Details
NPI 1083040232
Enumeration Date 09/19/2013
Last Updated 10/16/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name YESENIA YESENIA
Position OWNER
Phone (973) 432-7230
Fax (201) 794-4499
Practice Location
1605 JOHN ST STE 208
FORT LEE NJ, 07024-2550, US
Phone (973) 432-7230
Fax (201) 794-4499
Business Location
1605 JOHN ST STE 205B
FORT LEE NJ, 07024-2581, US
Phone (973) 432-7230
Fax (201) 794-4499
Toxanomy
Taxonomy Code 103TC0700X
License State New Jersey
License Number 35SI00492800
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According to our database, Bergen Psychological Services, Llc NPI is 1083040232, taxonomy code is 103TC0700X and license number is 35SI00492800, license state is located at New Jersey. Bergen Psychological Services, Llc physically located at 1605 John St Ste 208, Fort Lee NJ, 07024-2550. NPI Number 1033115704 has the healthcare provider type.

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1083040232 NPI number is provided on an as is basis without warranty of any kind. 1083040232 is maintained by the National Plan & Provider Enumeration System. The contents of Bergen Psychological Services, Llc are for informational purposes only.