Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 37PC00059300 | NJ |
N | 103G00000X | Clinical Psychologist | 37PC00059300 | NJ |
N | 103TC0700X | Clinical Psychologist | 37PC00059300 | NJ |
NPI | 1174608087 |
---|---|
Provider Name | Dr. Estelle Janiec |
First Address | Hackensack, NJ 07601-1262 |
Second Address | Hackensack, NJ 07601-1262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2006 |
Last Update Date | 08/07/2007 |