| Changes A Psychotherapeutic Practice | |
|
505 Hamilton Ave Suite 103 Linwood NJ 08221-1057 | |
| (609) 653-0665 | |
| (609) 926-8697 |
| Full Name | Changes A Psychotherapeutic Practice |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 505 Hamilton Ave, Linwood, New Jersey |
| Authorized Official Name and Position | Thomas Altaffer (OWNER) |
| Authorized Official Contact | 6096530665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changes A Psychotherapeutic Practice 411 W Edgewood Ave Linwood NJ 08221-1709 Ph: (609) 653-0665 | Changes A Psychotherapeutic Practice 505 Hamilton Ave Suite 103 Linwood NJ 08221-1057 Ph: (609) 653-0665 |
| NPI Number | 1508074774 |
|---|---|
| Provider Enumeration Date | 05/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508074774 | NPI | - | NPPES |
| 7704433 | Other | NJ | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC01453300 (New Jersey) | Primary |
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