Organization Name: | KALI ROY A EKLOF PHD PA |
NPI Number: | 1235346370 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KALI ROY A EKLOF (PRESIDENT) |
Mailing Address: | 4 Pitcairn Ave Ho Ho Kus |
State: | NJ US |
Postal Code: | 07423 |
Phone Number: | 2014472598 |
Fax Number: | 2014471949 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 11/12/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 35S100094300 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |