Doctor Name: | DR. GREGORY GEORGE LOMUTI |
NPI Number: | 1235215336 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 35SI00415000 |
Business Practice Address: | 8 Birchwood Ct Upper Saddle River, NJ - 074581905 |
Business Phone Number: | 2019349467 |
Business Fax Number: | 2019345028 |
Mailing Address: | 8 Birchwood Ct, UPPER SADDLE RIVER |
State: | NJ |
Postal Code: | 074581905 |
Phone Number: | 2019349467 |
Fax Number: | 2019345028 |
NPI Enumeration Date: | 10/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | 35SI00415000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |