Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 4223 | NJ |
Y | 103T00000X | Psychologist | 4223 | NJ |
N | 103G00000X | Clinical Psychologist | 4223 | NJ |
N | 103TC0700X | Clinical Psychologist | 4223 | NJ |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4223 | NJ |
N | 103TF0000X | Family Psychologist | 4223 | NJ |
NPI | 1134386550 |
---|---|
Provider Name | Dr. Vered Miriam Frumer |
First Address | Englewood, NJ 07631-4600 |
Second Address | Englewood, NJ 07631-4600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 22/05/2008 |