| Cristina Shaheen, Llc | |
|
296 Amboy Ave Metuchen NJ 08840-2471 | |
| (732) 784-3536 | |
| Not Available |
| Full Name | Cristina Shaheen, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 296 Amboy Ave, Metuchen, New Jersey |
| Authorized Official Name and Position | Cristina Shaheen (CLINICAL NEUROPSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7326933854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cristina Shaheen, Llc 296 Amboy Ave Metuchen NJ 08840-2471 Ph: (732) 784-3536 | Cristina Shaheen, Llc 296 Amboy Ave Metuchen NJ 08840-2471 Ph: (732) 784-3536 |
| NPI Number | 1073086591 |
|---|---|
| Provider Enumeration Date | 01/08/2019 |
| Last Update Date | 05/09/2023 |
| Certification Date | 05/09/2023 |
| Medicare PECOS PAC ID | 1456699131 |
|---|---|
| Medicare Enrollment ID | O20190206000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073086591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Cristina Shaheen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225396161 PECOS PAC ID: 8224354972 Enrollment ID: I20150224001280 |
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