| Audubon Psychological Services L.l.c. | |
|
1101 N. Kings Highway Suite 303 Cherry Hill NJ 08034-3214 | |
| (856) 546-3040 | |
| (856) 667-0392 |
| Full Name | Audubon Psychological Services L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 1101 N. Kings Highway, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Leon Miles Neubauer (PSYCHOLOGIST) |
| Authorized Official Contact | 8565463040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audubon Psychological Services L.l.c. 1101 Kings Hwy N Ste 303 Cherry Hill NJ 08034-1912 Ph: (856) 546-3040 | Audubon Psychological Services L.l.c. 1101 N. Kings Highway Suite 303 Cherry Hill NJ 08034-3214 Ph: (856) 546-3040 |
| NPI Number | 1396903563 |
|---|---|
| Provider Enumeration Date | 05/23/2008 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 4587845474 |
|---|---|
| Medicare Enrollment ID | O20110225000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396903563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4276 (New Jersey) | Primary |
| Provider Name | Christina M Treutler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073677787 PECOS PAC ID: 8426013608 Enrollment ID: I20041130000358 |
| Provider Name | Leon M Neubauer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073610770 PECOS PAC ID: 9335156280 Enrollment ID: I20060317000063 |
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