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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FOOTPRINT NEW JERSEY LIMITED LIABILITY COMPANY

Active Organization

FOOTPRINT NEW JERSEY LIMITED LIABILITY COMPANY is a Clinical Psychologist organization located in JERSEY CITY, New Jersey. NPI 1669862199 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · JERSEY CITY, NJ

Registration Details

NPI Number
1669862199
Provider Type
Organization
NPI Issued
Feb 5, 2015 (11.548256796269 yrs)
Last Updated
Jul 29, 2015
License
35SI00482700 (NJ)

Practice Information

Address
121 NEWARK AVE
STE. 503
JERSEY CITY, NJ, 073025872
Browse NJ providers · Browse ZIP 07302
Phone
2012406186
Fax
2017636606
Primary Specialty
Clinical Psychologist
103TC0700X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.