| Activity & Human Performance Center, Llc | |
|
89 Lapis Cir West Orange NJ 07052-2154 | |
| (973) 325-3131 | |
| (973) 325-3150 |
| Full Name | Activity & Human Performance Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 89 Lapis Cir, West Orange, New Jersey |
| Authorized Official Name and Position | Mark Harold Seglin (PRESIDENT/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9733253131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activity & Human Performance Center, Llc 89 Lapis Cir West Orange NJ 07052-2154 Ph: (973) 325-3131 | Activity & Human Performance Center, Llc 89 Lapis Cir West Orange NJ 07052-2154 Ph: (973) 325-3131 |
| NPI Number | 1174857544 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174857544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2138 (New Jersey) | Primary |
| 302R00000X | Health Maintenance Organization | 2138 (New Jersey) | Secondary |
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