Provider Demographics
NPI:1962538892
Name:PSYCHOEDUCATIONAL ASSESSMENTS, L.L.C.
Entity type:Organization
Organization Name:PSYCHOEDUCATIONAL ASSESSMENTS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALTA
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:201-569-2228
Mailing Address - Street 1:163 ENGLE ST
Mailing Address - Street 2:BUILDING #2
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2535
Mailing Address - Country:US
Mailing Address - Phone:201-569-2228
Mailing Address - Fax:201-569-7111
Practice Address - Street 1:158 ORANGEBURGH RD
Practice Address - Street 2:
Practice Address - City:OLD TAPPAN
Practice Address - State:NJ
Practice Address - Zip Code:07675-7499
Practice Address - Country:US
Practice Address - Phone:201-569-2228
Practice Address - Fax:201-569-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100163100103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchoolGroup - Single Specialty