Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 35S100276600 | NJ |
NPI | 1134312606 |
---|---|
Provider Name | Dr. Henry James Kandel |
First Address | Fort Lee, NJ 07024-4135 |
Second Address | Livingston, NJ 07039-4503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2007 |
Last Update Date | 19/08/2007 |