Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 35SI00407800 | NJ |
Y | 103TC0700X | Clinical Psychologist | 35SI00407800 | NJ |
NPI | 1003032145 |
---|---|
Provider Name | Eric Steven Kirschner |
First Address | Morristown, NJ 07962-1978 |
Second Address | Morristown, NJ 07962-1978 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2007 |
Last Update Date | 08/07/2007 |