Doctor Name: | JACLYN PALEY |
NPI Number: | 1184012023 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LSW |
License Number: | 44SL05988400 |
Business Practice Address: | 219 Taylors Mills Rd Manalapan, NJ - 077263255 |
Business Phone Number: | 9084152042 |
Business Fax Number: | |
Mailing Address: | 41 Canterbury Ln, WATCHUNG |
State: | NJ |
Postal Code: | 070696141 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/30/2014 |
NPI Last Update Date: | 12/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SL05988400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |