Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 44SC05407600 | NJ |
NPI | 1003146150 |
---|---|
Provider Name | Amy B. Acker |
First Address | Bridgewater, NJ 08807-1747 |
Second Address | Bridgewater, NJ 08807-1747 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2010 |
Last Update Date | 13/07/2016 |