Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | SI-03884 | NJ |
NPI | 1164645230 |
---|---|
Provider Name | Dr. Christopher J Doran |
First Address | Woodbury, NJ 08096-5925 |
Second Address | Woodbury, NJ 08096-5925 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |