| Doctor Name: | DR. DAVID SCOTT KREISS |
| NPI Number: | 1053527127 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | 4581 |
| Business Practice Address: | 296 Amboy Ave Metuchen, NJ - 088402471 |
| Business Phone Number: | 9084895149 |
| Business Fax Number: | |
| Mailing Address: | 41 Reckless Pl, RED BANK |
| State: | NJ |
| Postal Code: | 077011703 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 09/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4581 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |