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Contact Information

MARK V VERSELLA JR, PhD
317 GEORGE ST
NEW BRUNSWICK, NJ08901-2008
 Phone: 732-235-8993
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK V VERSELLA JR · (Male)

NPI # 1568180958
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/22/2022
Last updated 05/17/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 35SI00687800
  • PA License # PS019662
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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