Esralew, Lucille
Esralew, Lucille is an sole proprietor health care provider with primary practice located at 707 Alexander Rd Suite 208, Princeton NJ 08540-6331. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Esralew, Lucille can be contacted via phone (609) 419-4409.Contact Information
Primary practice address
707 Alexander Rd Suite 208
Princeton NJ 08540-6331
Phone: (609) 419-4409
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 35S100396800 | New Jersey |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 35S100396800 | New Jersey |
Profile Details
NPI number | 1104982271 |
---|---|
LBN Legal business name | Esralew, Lucille |
Credentials | Certified Psychologist (CP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 30th, 2006 |
Last updated | Jul 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104982271 | NPPES |
New Jersey | MEDICAID | 886088 |
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