Most Relevant Information
Provider Data
NPI Number: | 1003284332 |
Provider Name: | CLEVELAND D. REA |
Entity Type: | Individual |
Taxonomy Code: | 103T00000X |
Specialty: | Psychologist |
License Number: | 35SI00380900 |
Most Important Dates
Enumeration Date: | 09/03/2015 |
Last Updated: | 09/03/2015 |
Provider Practice Location
109 E LAUREL RD
1ST FLOOR
STRATFORD
NJ
080841324
Practice Location Phone/Fax
Phone: | 8565666034 |
Fax: | 8565666208 |
Provider Mailing Location
109 E LAUREL RD
1ST FLOOR
STRATFORD
NJ
080841324
Provider Mailing Phone/Fax
Phone: | 8565666034 |
Fax: | 8565666208 |