| Dream And Play Psychological Services Llc | |
|
152 Oldwick Rd Whitehouse Station NJ 08889-5015 | |
| (908) 439-3456 | |
| (908) 439-2323 |
| Full Name | Dream And Play Psychological Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 152 Oldwick Rd, Whitehouse Station, New Jersey |
| Authorized Official Name and Position | Tracy A. Menzie (PSYCHOLOGIST) |
| Authorized Official Contact | 7325958587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream And Play Psychological Services Llc Po Box 644 Lebanon NJ 08833-0644 Ph: (732) 595-8587 | Dream And Play Psychological Services Llc 152 Oldwick Rd Whitehouse Station NJ 08889-5015 Ph: (908) 439-3456 |
| NPI Number | 1184352759 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Certification Date | 08/11/2022 |
| Medicare PECOS PAC ID | 0345625661 |
|---|---|
| Medicare Enrollment ID | O20220922000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184352759 | NPI | - | NPPES |
| 1407246937 | Other | NJ | 1L-9449 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tracy Menzie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407246937 PECOS PAC ID: 6608281464 Enrollment ID: I20210209002297 |
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