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1850 Us Highway 46 Ste 3 Ledgewood NJ 07852-2401 | |
| (862) 244-3551 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 1850 Us Highway 46 Ste 3, Ledgewood, New Jersey |
| Authorized Official Name and Position | Beverly Dean (OWNER) |
| Authorized Official Contact | 9732167868 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
23 Beaver Dam Rd Randolph NJ 07869-3831 Ph: (973) 216-7868 | 1850 Us Highway 46 Ste 3 Ledgewood NJ 07852-2401 Ph: (862) 244-3551 |
| NPI Number | 1922713940 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 4981136975 |
|---|---|
| Medicare Enrollment ID | O20241015004047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922713940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Beverly Dean |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487895025 PECOS PAC ID: 6709318793 Enrollment ID: I20241015004153 |
Vici Psychological Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 518 Cardinal Ct, Ledgewood, NJ 07852 Phone: 201-639-4046 | |
Senior Solutions Associates Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 10 Dickinson Ct, Ledgewood, NJ 07852 Phone: 973-727-3778 Fax: 973-927-0627 | |