Healthcare Provider Details

I. General information

NPI: 1992843924
Provider Name (Legal Business Name): RK PSYCHOLOGY AND NEUROPSYCHOLOGY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2007
Last Update Date: 07/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2446 CHURCH RD STE 3B
TOMS RIVER NJ
08753-8182
US

IV. Provider business mailing address

2446 CHURCH RD STE 3B
TOMS RIVER NJ
08753-8182
US

V. Phone/Fax

Practice location:
  • Phone: 732-575-1930
  • Fax: 732-818-0050
Mailing address:
  • Phone: 732-575-1930
  • Fax: 732-818-0050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number35SI00297500
License Number StateNJ

VIII. Authorized Official

Name: ROBBIN KAY
Title or Position: OWNER
Credential: PHD
Phone: 732-575-1930