Provider Demographics
NPI:1336718709
Name:ARRAY PSYCHOLOGICAL ASSESSMENTS
Entity Type:Organization
Organization Name:ARRAY PSYCHOLOGICAL ASSESSMENTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-297-9187
Mailing Address - Street 1:1300 AVENUE AT PORT IMPERIAL APT 443
Mailing Address - Street 2:
Mailing Address - City:WEEHAWKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07086-6967
Mailing Address - Country:US
Mailing Address - Phone:914-297-9187
Mailing Address - Fax:
Practice Address - Street 1:1300 AVENUE AT PORT IMPERIAL APT 443
Practice Address - Street 2:
Practice Address - City:WEEHAWKEN
Practice Address - State:NJ
Practice Address - Zip Code:07086-6967
Practice Address - Country:US
Practice Address - Phone:914-297-9187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty