| Child Development Institute Inc | |
|
701 Cross St Ste 237 Lakewood NJ 08701-4029 | |
| (848) 210-0028 | |
| Not Available |
| Full Name | Child Development Institute Inc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 701 Cross St Ste 237, Lakewood, New Jersey |
| Authorized Official Name and Position | Levi Lipovenko (CHAIRMAN OF THE BOARD) |
| Authorized Official Contact | 8482100028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Development Institute Inc 701 Cross St Ste 237 Lakewood NJ 08701-4029 Ph: (848) 210-0028 | Child Development Institute Inc 701 Cross St Ste 237 Lakewood NJ 08701-4029 Ph: (848) 210-0028 |
| NPI Number | 1124806997 |
|---|---|
| Provider Enumeration Date | 09/21/2023 |
| Last Update Date | 09/21/2023 |
| Certification Date | 09/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124806997 | NPI | - | NPPES |
| 1609352608 | Medicaid | NJ |
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