Wayne Psychological Group LLC
NPI #1023134186 in Butler, New Jersey
Provider Information
- NPI Number
- 1023134186
- Entity Type
- Organization
- Organization Name
- Wayne Psychological Group LLC
- Primary Specialty
- Psychologist
- Enumeration Date
- Mar 21, 2007
- Last Updated
- Apr 29, 2009
Practice Location
- Address
- 45 CAREY AVE
- Address 2
- SUITE 204
- City
- Butler
- State
- New Jersey
- ZIP Code
- 07405-1443
- Phone
- (973) 527-4411
Authorized Official
- Name
- DR. EMILE BERTRAND GURSTELLE, PH.D.
- Title
- MEMBER
- Phone
- (973) 527-4411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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