Seidman, Mallory

Seidman, Mallory is an individual health care provider with primary practice located at 16 Inness Pl , Montclair NJ 07042-4923. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Seidman, Mallory can be contacted via phone (917) 426-7158.

Contact Information

Primary practice address
16 Inness Pl Montclair NJ 07042-4923
Phone: (917) 426-7158
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 35SI00571000 New Jersey
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 021231 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 021231 New York
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00571000 New Jersey

Profile Details

NPI number 1811304660
LBN Legal business name Seidman, Mallory
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2014
Last updated Feb 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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