person
Dr. Keith D Cicerone, PHD
Clinical Neuropsychologist in Edison, New Jersey
NPI 1891877528

Keith D Cicerone is a Clinical Neuropsychologist based in Edison, NJ. Keith D Cicerone practices in Edison, NJ and has the professional credentials of PHD. The NPI Number for Keith D Cicerone is 1891877528 and holds a License No. 35SI00213000 (New Jersey).

The current practice location address for Keith D Cicerone is 2048 Oak Tree Rd, Edison, NJ and can be reached out via phone at 732-906-2645 and via fax at 732-906-9241. You can also correspond with Keith D Cicerone through the mailing address at 2048 OAK TREE RD, EDISON, NJ - 08820-2012 (mailing address contact number: 732-906-2645).

Location: 2048 Oak Tree Rd, Edison, NJ, 08820-2012
person
Provider Profile Details
NPI Number
1891877528
Provider Name
Keith D Cicerone
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2048 Oak Tree Rd, Edison, NJ, 08820-2012
Phone Number
732-906-2645
Fax Number
732-906-9241
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6740502 05 NJ
institution
Provider Business Practice Location Address Details
Address
2048 Oak Tree Rd
City
State
Zip
08820-2012
Phone Number
732-906-2645
Fax Number
732-906-9241
person
Provider Business Mailing Address Details
Address
2048 Oak Tree Rd
City
State
Zip
08820-2012
Phone Number
732-906-2645
Fax Number
732-906-9241
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
License No.
35SI00213000 (New Jersey)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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