Doctor Name: | ALYSON RESNICK |
NPI Number: | 1093143174 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 37PC00541800 |
Business Practice Address: | 285 Durham Avenue, Bldg. #6, Suite 2a South Plainfield, NJ - 07080 |
Business Phone Number: | 9085488533 |
Business Fax Number: | 9085488532 |
Mailing Address: | 285 Durham Avenue, Bldg. #6,, Suite 2a SOUTH PLAINFIELD |
State: | NJ |
Postal Code: | 07080 |
Phone Number: | 9085488533 |
Fax Number: | 9085488532 |
NPI Enumeration Date: | 10/28/2013 |
NPI Last Update Date: | 02/17/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00541800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |