Specialized Therapy Associates LLC
NPI #1417293101 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1417293101
- Entity Type
- Organization
- Organization Name
- Specialized Therapy Associates LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SPECIALIZED THERAPY ASSOCIATES LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Dec 27, 2012
- Last Updated
- Dec 27, 2012
Practice Location
- Address
- 83 SUMMIT AVE
- Address 2
- 2 ND FLOOR
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-1262
- Phone
- (201) 488-6678
Authorized Official
- Name
- DR. VANESSA GOURDINE, PSY D
- Title
- DIRECTOR
- Phone
- (201) 488-6678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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