NPI 1023646387

Peter Avery, PHD

Practitioner Clinical Psychologist Montclair, NJ

Practice location

Address: 36 Park St, Montclair, NJ 07042-3440
Phone: (973) 865-1297

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6395 (NJ)

Other Psychologist providers in New Jersey →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 023670 (NY)

Registry record

NPI: 1023646387
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Mar 2020
Record last updated: 3 Jun 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.