| Clinical Psychologist | |
|
3804 Church Rd Mount Laurel NJ 08054-1106 | |
| (609) 744-3393 | |
| (856) 787-9588 |
| Full Name | Clinical Psychologist |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3804 Church Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | William L Shinefield (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6097443393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Psychologist Po Box 547 Mount Laurel NJ 08054-0547 Ph: (609) 744-3393 | Clinical Psychologist 3804 Church Rd Mount Laurel NJ 08054-1106 Ph: (609) 744-3393 |
| NPI Number | 1396903720 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396903720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00299400 (New Jersey) | Primary |
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