Provider Demographics
NPI:1578786711
Name:COLNAGHI, GEORGE L (PHD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:L
Last Name:COLNAGHI
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 1:52 JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3301
Mailing Address - Country:US
Mailing Address - Phone:609-452-1110
Mailing Address - Fax:
Practice Address - Street 1:52 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3301
Practice Address - Country:US
Practice Address - Phone:609-452-1110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00246400103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist