| Amy Degirolamo Llc | |
|
442 Westwood Dr West Deptford NJ 08096-3130 | |
| (609) 221-1625 | |
| Not Available |
| Full Name | Amy Degirolamo Llc |
|---|---|
| Speciality | Counselor |
| Location | 442 Westwood Dr, West Deptford, New Jersey |
| Authorized Official Name and Position | Amy Degirolamo (THERAPIST) |
| Authorized Official Contact | 6092211625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Degirolamo Llc 442 Westwood Dr West Deptford NJ 08096-3130 Ph: (609) 221-1625 | Amy Degirolamo Llc 442 Westwood Dr West Deptford NJ 08096-3130 Ph: (609) 221-1625 |
| NPI Number | 1053170860 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/14/2024 |
| Medicare PECOS PAC ID | 0446690200 |
|---|---|
| Medicare Enrollment ID | O20240429000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053170860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Amy Degirolamo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891324919 PECOS PAC ID: 3173963931 Enrollment ID: I20240429000096 |
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