Healthcare Provider Details

I. General information

NPI: 1972644912
Provider Name (Legal Business Name): ASSOCS IN PSYCH SVCS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N DOUGHTY AVE
SOMERVILLE NJ
08876-1811
US

IV. Provider business mailing address

25 N DOUGHTY AVE
SOMERVILLE NJ
08876-1811
US

V. Phone/Fax

Practice location:
  • Phone: 908-526-1177
  • Fax: 908-526-3139
Mailing address:
  • Phone: 908-526-1177
  • Fax: 908-526-3139

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNJ

VIII. Authorized Official

Name: DR. STEVEN EDWARD WEITZ
Title or Position: PRESIDENT
Credential: PHD
Phone: 908-526-1177