| Svr Psychological Services, Pc | |
|
777 Passaic Ave 5th Floor Clifton NJ 07012-1804 | |
| (973) 815-0777 | |
| Not Available |
| Full Name | Svr Psychological Services, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 777 Passaic Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Samuelle Klein-von Reiche (OWNER) |
| Authorized Official Contact | 99734600099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Svr Psychological Services, Pc 777 Passaic Ave Suite 365 Clifton NJ 07012-1804 Ph: (973) 460-0099 | Svr Psychological Services, Pc 777 Passaic Ave 5th Floor Clifton NJ 07012-1804 Ph: (973) 815-0777 |
| NPI Number | 1255738415 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255738415 | NPI | - | NPPES |
| 35S100324600 | Other | NJ | NJ STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35S100324600 (New Jersey) | Primary |
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