OrganizationActive
Genesis P.a.c.e.s. LLP
NPI 1306236179 · Clinical Child & Adolescent Psychologist · Trenton, NJ
Provider details
- NPI number
- 1306236179
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Authorized official
- Cledicianne Dorvil, Co-Owner
Practice location
826 W State St
Suite A.
Trenton, NJ 08618-5350
Phone: (609) 393-1166
Fax: (609) 393-2140
Mailing address
826 W State St
Trenton, NJ 08618-5350
Registry dates
- Enumerated
- 2015-01-30
- Last updated
- 2015-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.