Provider Demographics
NPI:1477621936
Name:BRESSLER, RANDY ALAN (PSYD)
Entity Type:Individual
Prefix:DR
First Name:RANDY
Middle Name:ALAN
Last Name:BRESSLER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 ESSEX ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1611
Mailing Address - Country:US
Mailing Address - Phone:973-346-4138
Mailing Address - Fax:
Practice Address - Street 1:68 ESSEX ST STE 1A
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1611
Practice Address - Country:US
Practice Address - Phone:973-346-4138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016453103TC0700X
NJ051A265103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical