Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 073-791 | NJ |
NPI | 1154506855 |
---|---|
Provider Name | Dr. Rachael Ann Fite |
First Address | Califon, NJ 07830-4188 |
Second Address | Somerville, NJ 08876-1811 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/01/2008 |
Last Update Date | 01/01/2008 |