| Candor Psychotherapy, Llc | |
|
1405 Chews Landing Rd Ste 54 Clementon NJ 08021-2769 | |
| (856) 759-7906 | |
| Not Available |
| Full Name | Candor Psychotherapy, Llc |
|---|---|
| Speciality | Counselor |
| Location | 1405 Chews Landing Rd Ste 54, Clementon, New Jersey |
| Authorized Official Name and Position | Maria Richman (OWNER) |
| Authorized Official Contact | 8567597906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Candor Psychotherapy, Llc 1405 Chews Landing Rd Ste 54 Clementon NJ 08021-2769 Ph: (856) 759-7906 | Candor Psychotherapy, Llc 1405 Chews Landing Rd Ste 54 Clementon NJ 08021-2769 Ph: (856) 759-7906 |
| NPI Number | 1275210437 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 9537522669 |
|---|---|
| Medicare Enrollment ID | O20230823000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275210437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Maria Richman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770905259 PECOS PAC ID: 6709249832 Enrollment ID: I20230823000183 |
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