Provider Demographics
NPI:1114131638
Name:ALBERT, PIERRE JEAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:PIERRE
Middle Name:JEAN
Last Name:ALBERT
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 EASTERN PKWY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-2908
Mailing Address - Country:US
Mailing Address - Phone:973-368-5180
Mailing Address - Fax:
Practice Address - Street 1:2115 MILLBURN AVE
Practice Address - Street 2:SUITE L-1D
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-3724
Practice Address - Country:US
Practice Address - Phone:973-368-7360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00442000103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist