Prov 205 LLC
Prov 205 LLC is a Psychologist in Bayonne, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.
- Licensed in
- NJ
- In the registry since
- 2016
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
866 Broadway Ste ABayonne, NJ 07002-3070
Phone: (201) 455-2052
Fax: (201) 354-9376
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychologist (primary) | Taxonomy 103T00000X · Licence 35SI00437200 (NJ) |
|---|
Record details
| NPI number | 1063963411 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Joel Nunez — Psychologist · (201) 455-2052 |
| NPI enumerated | October 20, 2016 |
| Last updated in NPPES | April 27, 2017 |
| Mailing address | Po Box 626, New Providence, NJ 07974-0626 |
Other providers in Bayonne
-
Dr. Genesis Gonzalez, PSYD
100 Avenue G Apt 639, Bayonne, NJ 07002-6746 · (732) 354-1466
-
Dr. Linda M June, PHD
654 Avenue C Ste 301, Bayonne, NJ 07002-3899 · (201) 743-8889
-
Dr. Adam Kendler, PSYD
167 Broadway, Bayonne, NJ 07002-2422 · (201) 954-1366
-
Dr. Joel Nunez, PHD
510 Broadway, Bayonne, NJ 07002-3070 · (201) 455-2052