AVICENNA MEDICAL CENTER is a prescribing (medical) psychologist in Montclair, NJ. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. AVICENNA MEDICAL CENTER NPI is 1073904801. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
129 VALLEY RD
2ND FLOOR
MONTCLAIR, NJ
ZIP 07042-331
Phone: (973) 746-2620
Fax: (973) 746-2579
The provider's authorized official is Anna Michele Rossi .
The authorized official title is President/psychiatrist and has the following contact phone number (973) 746-2620.
The enumeration date for this NPI number is 2/16/2015 and was last updated on 2/16/2015.