Dr. Betsy Fernbach Llc | |
1101 Kings Hwy N Suite 202 Cherry Hill NJ 08034-1912 | |
(609) 238-1751 | |
Not Available |
Full Name | Dr. Betsy Fernbach Llc |
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Speciality | Psychologist |
Location | 1101 Kings Hwy N, Cherry Hill, New Jersey |
Authorized Official Name and Position | Betsy Fernbach (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6092381751 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr. Betsy Fernbach Llc 1101 Kings Hwy N Suite 202 Cherry Hill NJ 08034-1912 Ph: (609) 238-1751 | Dr. Betsy Fernbach Llc 1101 Kings Hwy N Suite 202 Cherry Hill NJ 08034-1912 Ph: (609) 238-1751 |
NPI Number | 1922476811 |
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Provider Enumeration Date | 09/09/2015 |
Last Update Date | 09/09/2015 |
Medicare PECOS PAC ID | 3072820372 |
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Medicare Enrollment ID | O20200622002433 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922476811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 35SI00225700 (New Jersey) | Primary |
Provider Name | Betsy Ellen Fernbach |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144385824 PECOS PAC ID: 4587747027 Enrollment ID: I20200622003110 |
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