Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 35SI00372500 | NJ |
NPI | 1003943127 |
---|---|
Provider Name | Dr. Mark Singer |
First Address | Livingston, NJ 07039-1710 |
Second Address | Livingston, NJ 07039-1710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 08/07/2007 |