Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 173-010 | NJ |
NPI | 1053800029 |
---|---|
Provider Name | Dr. Gina Marie Mcsheffrey-Emmons |
First Address | Verona, NJ 07044-2909 |
Second Address | Montclair, NJ 07042-2129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2018 |
Last Update Date | 05/05/2018 |