Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 35S100391700 | NJ |
NPI | 1033249537 |
---|---|
Provider Name | Dr. Cara Seroy |
First Address | Somerville, NJ 08876-2320 |
Second Address | Somerville, NJ 08876-2320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 14/09/2009 |