Theresa Wray, | |
13 N Hartford Ave, Atlantic City, NJ 08401-3512 | |
(609) 348-1161 | |
(609) 645-7343 |
Full Name | Theresa Wray |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 13 N Hartford Ave, Atlantic City, 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 |
---|---|---|---|
1619372463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Atlanticare Physician Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093829608 PECOS PAC ID: 8527953660 Enrollment ID: O20040218000405 |
Mailing Address | Practice Location Address |
---|---|
Theresa Wray, 15 Sea Sounds Ave, Marmora, NJ 08223-1018 Ph: (609) 206-7435 | Theresa Wray, 13 N Hartford Ave, Atlantic City, NJ 08401-3512 Ph: (609) 348-1161 |
Mr. Marcellino Joseph Manganelli Iii, CERTIFIED SOCIAL WOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 2009 Bacharach Blvd, Atlantic City, NJ 08401 Phone: 609-344-5714 Fax: 609-345-0775 | |
Kim F Klaus, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 N Hartford Ave, Atlantic City, NJ 08401 Phone: 609-348-1161 Fax: 609-348-5460 | |
Vicotria Mack Sutton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 N Hartford Ave, Atlantic City, NJ 08401 Phone: 609-348-1161 | |
Tabitha Handelong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 N Hartford Ave, Atlantic City, NJ 08401 Phone: 609-348-1161 Fax: 609-383-2868 | |
Mr. Matthew Charles Remington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13 N Hartford Ave, Atlantic City, NJ 08401 Phone: 609-348-1161 | |
Dana Seidel, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1601 Atlantic Ave, Atlantic City, NJ 08401 Phone: 609-572-8555 Fax: 609-383-2868 | |
Anthony M Dinkins, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: Jewish Family Service Of Atlantic County, Inc., 26 S. Pennsylvania Ave., Atlantic City, NJ 08401 Phone: 609-822-1108 |