FOOTPRINT NEW JERSEY LIMITED LIABILITY COMPANY
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1669862199- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 121 NEWARK AVE STE. 503, JERSEY CITY, NJ, 073025872
- Phone
- (201) 240-6186
- Fax
- (201) 763-6606
Specialties & Taxonomies
Psychologist, Clinical
Primary License: NJ #35SI00482700