Organization Name: | MORRIS LAITMAN,P.A. |
NPI Number: | 1225367808 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MORRIS LAITMAN (PRESIDENT) |
Mailing Address: | 9 Abis Pl West Long Branch |
State: | NJ US |
Postal Code: | 077641104 |
Phone Number: | 7325713950 |
Fax Number: | 7325716807 |
NPI Enumeration Date: | 12/10/2009 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 35SI00011800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |