Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | ||
Y | 103T00000X | Psychologist |
NPI | 1003328618 |
---|---|
Provider Name | Babita Spinelli |
First Address | Basking Ridge, NJ 07920-4243 |
Second Address | Basking Ridge, NJ 07920-4243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2017 |
Last Update Date | 17/03/2018 |