| Cor Support Llc | |
|
294 Harrington Ave Suite 7 Closter NJ 07624-1912 | |
| (201) 564-7331 | |
| (201) 564-7337 |
| Full Name | Cor Support Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 294 Harrington Ave, Closter, New Jersey |
| Authorized Official Name and Position | Karen Marie Rule Suarez (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2015647331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cor Support Llc 294 Harrington Ave Suite 7 Closter NJ 07624-1912 Ph: (201) 564-7331 | Cor Support Llc 294 Harrington Ave Suite 7 Closter NJ 07624-1912 Ph: (201) 564-7331 |
| NPI Number | 1891230470 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 07/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891230470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1083950471 (New Jersey) | Primary |
| 1041C0700X | Social Worker - Clinical | 1821413626 (New Jersey) | Secondary |
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