NPI 1144955428

Mohammed Beyan Fofana

Practitioner Intellectual & Developmental Disabilities Psychologist Newark, NJ

Practice location

Address: 675 Clinton Ave, Newark, NJ 07108-1435
Phone: (908) 692-2205
Mailing address: 429 Washington St APT 3a, Newark, NJ 07102-1288

Registered specialties

Intellectual & Developmental Disabilities Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TM1800X

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Registry record

NPI: 1144955428
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jul 2022
Record last updated: 20 Jul 2022

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.