Provider Demographics
NPI:1134216302
Name:A&W PSYCHOLOGY SERVICES INC.
Entity type:Organization
Organization Name:A&W PSYCHOLOGY SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:G
Authorized Official - Last Name:FLOREK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:732-364-0040
Mailing Address - Street 1:525 HIGHWAY 70
Mailing Address - Street 2:SUITE A-3
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5847
Mailing Address - Country:US
Mailing Address - Phone:732-364-0040
Mailing Address - Fax:
Practice Address - Street 1:525 HIGHWAY 70
Practice Address - Street 2:SUITE A-3
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5847
Practice Address - Country:US
Practice Address - Phone:732-364-0040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty