PORTUM PRIVATE PRACTICE LLC
Organization (NPI-2)
Active
Psychologist, Clinical Child & Adolescent
Provider Information
- NPI Number
1528802568- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1465 ROUTE 31 S, ANNANDALE, NJ, 088013129
- Phone
- (732) 614-0994
Specialties & Taxonomies
Psychologist, Clinical Child & Adolescent
Primary
Psychiatry & Neurology, Child & Adolescent Psychiatry
All Addresses
MAILING
1465 ROUTE 31 S
ANNANDALE, NJ, 088013129