| Debra Haverson Psychotherapy Services Llc | |
|
37 Kings Rd Madison NJ 07940-2500 | |
| (973) 476-4503 | |
| Not Available |
| Full Name | Debra Haverson Psychotherapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 37 Kings Rd, Madison, New Jersey |
| Authorized Official Name and Position | Debra A Haverson (OWNER) |
| Authorized Official Contact | 9734764503 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Haverson Psychotherapy Services Llc 62 Shadylawn Dr Madison NJ 07940-1012 Ph: (973) 476-4503 | Debra Haverson Psychotherapy Services Llc 37 Kings Rd Madison NJ 07940-2500 Ph: (973) 476-4503 |
| NPI Number | 1306112073 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 06/18/2012 |
| Medicare PECOS PAC ID | 9739349895 |
|---|---|
| Medicare Enrollment ID | O20120327000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306112073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05474700 (New Jersey) | Primary |
| Provider Name | Debra A Haverson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932432721 PECOS PAC ID: 8628243037 Enrollment ID: I20111214000344 |
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