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Contact Information

ACTIVITY & HUMAN PERFORMANCE CENTER, LLC
89 LAPIS CIR
WEST ORANGE, NJ07052-2154
 Phone: 973-325-3131
 Fax: 973-325-3150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for ACTIVITY HUMAN PERFORMANCE CENTER LLC · (Female)

NPI Number 1174857544
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2009
Last updated 10/01/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ License # 2138
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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