Dennis Gary Shulman, PH.D.
Individual provider Active NPI Psychologist · Demarest, NJ
NPI 1285879932 · NPPES record last updated Dec 10, 2008
Key facts
- NPI
- 1285879932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- S-101699 (NJ)
- Practice address
- 285 Hardenburgh Ave
Demarest, NJ 07627-1306 - Phone
- (201) 784-0880
- NPI assigned
- Dec 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-101699 | NJ | MD | Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | S-101699 | NJ | Yes |
Addresses
Primary practice location
285 Hardenburgh Ave
Demarest, NJ 07627-1306
Mailing address
285 Hardenburgh Ave
Demarest, NJ 07627-1306
Phone (201) 784-0880
Other providers in Demarest, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.