Brian Hoyt Hagerty, LSW | |
770 Woodlane Rd, Westampton, NJ 08060-3804 | |
(609) 267-5928 | |
Not Available |
Full Name | Brian Hoyt Hagerty |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 770 Woodlane Rd, Westampton, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982274973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Jersey Behavioral Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740677152 PECOS PAC ID: 4183992142 Enrollment ID: O20170615000042 |
Entity Name | Counseling Center At Fair Lawn, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407276975 PECOS PAC ID: 5496127086 Enrollment ID: O20230208000502 |
Mailing Address | Practice Location Address |
---|---|
Brian Hoyt Hagerty, LSW 770 Woodlane Rd, Westampton, NJ 08060-3804 Ph: (609) 267-5928 | Brian Hoyt Hagerty, LSW 770 Woodlane Rd, Westampton, NJ 08060-3804 Ph: (609) 267-5928 |
Ashley Coralluzzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Ashley D Burks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 856-267-5928 | |
Hayley Hardin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Safa Alston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Brenda Formanek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Constance Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 | |
Kiamarae Mathes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 770 Woodlane Rd, Westampton, NJ 08060 Phone: 609-267-5928 |