Behavioral Health Physician Pllc

Psychologist · Lakewood, NJ

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At a glance

2013 Cedarbridge Ave, Lakewood, NJ 08701-7050

NPPES record updated Apr 22, 2026. Public records can lag behind changes at a practice.

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Practice location

2013 Cedarbridge Ave
Lakewood, NJ 08701-7050

Professional details: NPI, taxonomy & registry record

NPI1194697201

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Registry details

Primary taxonomy: Psychologist
Taxonomy code: 103T00000X
Enumeration date: Sep 18, 2025
Record updated: Apr 22, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Psychologist

103T00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2013 Cedarbridge Ave
Lakewood, NJ 08701-7050

Phone: (212) 734-6621

Mailing address

11 S UNION ST

CAMBRIDGE, NY 128161008

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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