| Dr. Katherine O'leary, Phd Llc | |
|
216 Maple Ave Ste 102 Red Bank NJ 07701-1731 | |
| (732) 631-3070 | |
| Not Available |
| Full Name | Dr. Katherine O'leary, Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 216 Maple Ave Ste 102, Red Bank, New Jersey |
| Authorized Official Name and Position | Katherine O'leary (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7326313070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Katherine O'leary, Phd Llc 216 Maple Ave Ste 102 Red Bank NJ 07701-1731 Ph: (732) 631-3070 | Dr. Katherine O'leary, Phd Llc 216 Maple Ave Ste 102 Red Bank NJ 07701-1731 Ph: (732) 631-3070 |
| NPI Number | 1659962447 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 8527474022 |
|---|---|
| Medicare Enrollment ID | O20210308002827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659962447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Katherine E Oleary |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457753659 PECOS PAC ID: 1456638659 Enrollment ID: I20170425001865 |
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