Doctor Name: | MONA KRISHAN |
NPI Number: | 1992182802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DOCTORATE |
License Number: | 35SI00532000 |
Business Practice Address: | 3625 Quakerbridge Rd Hamilton, NJ - 086191268 |
Business Phone Number: | 6098908844 |
Business Fax Number: | |
Mailing Address: | 2303 Middlefield Ct, DENVILLE |
State: | NJ |
Postal Code: | 078343464 |
Phone Number: | 9737227449 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2015 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 35SI00532000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |