Organization Name: | UNION COUNTY PSYCHOLOGICAL CORP |
NPI Number: | 1073676888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWRENCE SASSO (PSYCHOLOGIST) |
Mailing Address: | 124 Saint Paul St Westfield |
State: | NJ US |
Postal Code: | 070902145 |
Phone Number: | 9082328381 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 01250 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |