| Cornerstone Psychological Services | |
|
1540 Route 138 Building 2, Suite 201 Wall Township NJ 07719-3763 | |
| (732) 778-5009 | |
| Not Available |
| Full Name | Cornerstone Psychological Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1540 Route 138, Wall Township, New Jersey |
| Authorized Official Name and Position | Cydney Jane Terreri (PSYCHOLOGIST, REGISTERED AGENT) |
| Authorized Official Contact | 7327738435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Psychological Services 1612 Sheridan Dr Wall Township NJ 07753-7019 Ph: () - | Cornerstone Psychological Services 1540 Route 138 Building 2, Suite 201 Wall Township NJ 07719-3763 Ph: (732) 778-5009 |
| NPI Number | 1770018939 |
|---|---|
| Provider Enumeration Date | 04/25/2017 |
| Last Update Date | 04/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770018939 | NPI | - | NPPES |
| 1932531563 | Other | INDIVIDUAL PROVIDER (TYPE 1) NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 35SI00497400 (New Jersey) | Primary |
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