Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 35S100338900 | NJ |
NPI | 1174676100 |
---|---|
Provider Name | Dr. Victoria Tomasek |
First Address | Verona, NJ 07044-2539 |
Second Address | Verona, NJ 07044-2539 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2007 |
Last Update Date | 08/07/2007 |