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DR. JAMES L. FOSSHAGE PH.D.

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1649441155

Individual Registrant:
DR. JAMES L. FOSSHAGE PH.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
16 POPLAR RD  DEMAREST, NJ 07627-1310 US
Tel: 201-768-3924  Fax: 201-750-1616

Contact information for business:
16 POPLAR RD  DEMAREST, NJ 07627-1310 US
Tel: 201-768-3924  Fax: 201-750-1616

Registration Information:
NPI: 1649441155
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
NJ35S100081100

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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