Provider Demographics
NPI:1750136818
Name:CHILD ASSESSMENT AND PSYCHOLOGICAL SERVICES OF NEW JERSEY, LLC
Entity type:Organization
Organization Name:CHILD ASSESSMENT AND PSYCHOLOGICAL SERVICES OF NEW JERSEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WOSZCZAK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, NJCSP
Authorized Official - Phone:732-927-3225
Mailing Address - Street 1:2905 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-4213
Mailing Address - Country:US
Mailing Address - Phone:732-927-3225
Mailing Address - Fax:
Practice Address - Street 1:2130 ROUTE 35 STE 227
Practice Address - Street 2:
Practice Address - City:SEA GIRT
Practice Address - State:NJ
Practice Address - Zip Code:08750-1011
Practice Address - Country:US
Practice Address - Phone:732-927-1862
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Single Specialty