| Richard F. Formica, Ph.d., P.a. | |
|
73 Morris Ave Haworth NJ 07641-1303 | |
| (201) 384-7457 | |
| Not Available |
| Full Name | Richard F. Formica, Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 73 Morris Ave, Haworth, New Jersey |
| Authorized Official Name and Position | Richard F Formica (PRESIDENT) |
| Authorized Official Contact | 2013847457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard F. Formica, Ph.d., P.a. 73 Morris Ave Haworth NJ 07641-1303 Ph: (201) 384-7457 | Richard F. Formica, Ph.d., P.a. 73 Morris Ave Haworth NJ 07641-1303 Ph: (201) 384-7457 |
| NPI Number | 1447454863 |
|---|---|
| Provider Enumeration Date | 06/11/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447454863 | NPI | - | NPPES |
| 35S100098200 | Other | NJ | NJ LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35S100098200 (New Jersey) | Primary |
Ag Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hardenburgh Ave, Haworth, NJ 07641 Phone: 412-780-0935 |