| Doctor Name: | DR. DENNIS F LA SCALA |
| NPI Number: | 1124022678 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 00069899 |
| Business Practice Address: | 14 Smull Ave Caldwell, NJ - 070065012 |
| Business Phone Number: | 9732265521 |
| Business Fax Number: | |
| Mailing Address: | 16 Ward Pl, CALDWELL |
| State: | NJ |
| Postal Code: | 070065008 |
| Phone Number: | 9733649613 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2005 |
| NPI Last Update Date: | 11/14/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TS0200X |
| License Number: | 00069899 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |