| Organization Name: | UPPER MONTCLAIR PSYCHOLOGICAL ASSOCIATES, LLC |
| NPI Number: | 1770658569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HENRY SREDNICKI (OWNER) |
| Mailing Address: | 543 Valley Rd Suite 6 Upper Montclair |
| State: | NJ US |
| Postal Code: | 070431881 |
| Phone Number: | 9737449130 |
| Fax Number: | 9738632354 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 03509 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |