Dr Karen A Tennyson Llc | |
201 Pleasant Hill Rd Chester NJ 07930-2141 | |
(973) 556-8462 | |
(972) 252-6418 |
Full Name | Dr Karen A Tennyson Llc |
---|---|
Speciality | Clinical Neuropsychologist |
Location | 201 Pleasant Hill Rd, Chester, New Jersey |
Authorized Official Name and Position | Karen Tennyson (PSYCHOLOGIST) |
Authorized Official Contact | 9735568462 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dr Karen A Tennyson Llc 27 Connelly Ave Budd Lake NJ 07828-2526 Ph: (973) 556-8462 | Dr Karen A Tennyson Llc 201 Pleasant Hill Rd Chester NJ 07930-2141 Ph: (973) 556-8462 |
NPI Number | 1770077752 |
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Provider Enumeration Date | 06/21/2018 |
Last Update Date | 11/08/2018 |
Medicare PECOS PAC ID | 8123374055 |
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Medicare Enrollment ID | O20180709001209 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770077752 | NPI | - | NPPES |
0153265 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 35SI00448700 (New Jersey) | Primary |
Provider Name | Karen A Tennyson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154530129 PECOS PAC ID: 9931131836 Enrollment ID: I20080303000351 |
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