Ms Mallory Sheklian, LAC | |
58 Maple Ave, Red Bank, NJ 07701-1618 | |
(732) 920-3434 | |
Not Available |
Full Name | Ms Mallory Sheklian |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 58 Maple Ave, Red Bank, 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 |
---|---|---|---|
1134856057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 37AC00519900 (New Jersey) | Primary |
Entity Name | Shore Psychological Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477563534 PECOS PAC ID: 6305846379 Enrollment ID: O20061226000015 |
Mailing Address | Practice Location Address |
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Ms Mallory Sheklian, LAC 163 Bridge Ave Apt A, Red Bank, NJ 07701-1233 Ph: (732) 547-1525 | Ms Mallory Sheklian, LAC 58 Maple Ave, Red Bank, NJ 07701-1618 Ph: (732) 920-3434 |
Stephanie Helen Diaz, Counselor Medicare: Medicare Enrolled Practice Location: 65 Mechanic St Ste 203, Red Bank, NJ 07701 Phone: 855-284-7483 Fax: 617-807-0958 | |
Lou Storey, LCSW, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 43 W Front St, Suite 14a, Red Bank, NJ 07701 Phone: 732-530-0742 Fax: 732-530-0742 | |
Dr. Gwen B Schneider-johnsen, PSYD,LPC,MA,ATR-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 47 Reckless Pl, Red Bank, NJ 07701 Phone: 908-489-2683 | |
Talya Bauer, LPC, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 195 Maple Ave, Red Bank, NJ 07701 Phone: 732-749-2438 | |
Michael Teti, LSW, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 270 Highway 35, Red Bank, NJ 07701 Phone: 732-842-2000 | |
Sandra V Fritz, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Hwy 35, Red Bank, NJ 07701 Phone: 732-747-0094 Fax: 732-747-1095 | |
Dr. David Julius Ford Jr., LCMHC, LPC, NCC, ACS Counselor Medicare: Not Enrolled in Medicare Practice Location: 87 Maple Ave Ste 2, Red Bank, NJ 07701 Phone: 336-340-7602 |