| Nocd New Jersey Pc | |
|
177 Willet St Passaic NJ 07055-1929 | |
| (847) 436-3265 | |
| Not Available |
| Full Name | Nocd New Jersey Pc |
|---|---|
| Speciality | Psychologist |
| Location | 177 Willet St, Passaic, New Jersey |
| Authorized Official Name and Position | Larry Trusky (COO) |
| Authorized Official Contact | 8474363265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nocd New Jersey Pc 225 N Michigan Ave Ste 1430 Chicago IL 60601-7653 Ph: (847) 436-3265 | Nocd New Jersey Pc 177 Willet St Passaic NJ 07055-1929 Ph: (847) 436-3265 |
| NPI Number | 1043831183 |
|---|---|
| Provider Enumeration Date | 04/29/2020 |
| Last Update Date | 04/29/2020 |
| Certification Date | 04/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043831183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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