Provider Demographics
NPI:1841414406
Name:PUGLIA, ROBERT J (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:PUGLIA
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:VALLEY PARK PROFESSIONAL CENTER
Mailing Address - Street 2:2517 HWY 35, BLDG H, STE 201
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-1918
Mailing Address - Country:US
Mailing Address - Phone:732-528-5688
Mailing Address - Fax:732-528-5495
Practice Address - Street 1:2517 HWY, BLDG 201, STE 201
Practice Address - Street 2:VALLEY PARK PROFESSIONAL CENTER
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1918
Practice Address - Country:US
Practice Address - Phone:732-528-5688
Practice Address - Fax:732-528-5495
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ35S100161300103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling