Specialized Therapy Associates LLC

NPI #1851637557 in Hackensack, New Jersey

Provider Information

NPI Number: 1851637557
Entity Type: Organization
Organization Name: Specialized Therapy Associates LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SPECIALIZED THERAPY ASSOCIATES LLC
Primary Specialty: Psychologist
Enumeration Date: Dec 27, 2012
Last Updated: Dec 27, 2012

Practice Location

Address: 83 SUMMIT AVE
Address 2: 2ND 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	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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