Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 44SC04632100 | NJ |
NPI | 1023168846 |
---|---|
Provider Name | Cynthia Arch |
First Address | Cranford, NJ 07016-2435 |
Second Address | Cranford, NJ 07016-2435 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2007 |
Last Update Date | 08/07/2007 |