Healthcare Provider Details
I. General information
NPI: 1184558801
Provider Name (Legal Business Name): AMY PALFREY, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
33 PLYMOUTH ST STE 106
MONTCLAIR NJ
07042-2677
US
IV. Provider business mailing address
971 US HIGHWAY 202 N STE N
BRANCHBURG NJ
08876-3757
US
V. Phone/Fax
- Phone: 610-405-1428
- Fax:
- Phone: 610-405-1428
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
AMY
PALFREY
Title or Position: OWNER
Credential: PH.D.
Phone: 610-405-1428