| Duckett & Charleston Psychological Associates, Llc | |
|
1303 Route 130 N Burlington NJ 08016-2014 | |
| (609) 456-1584 | |
| Not Available |
| Full Name | Duckett & Charleston Psychological Associates, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1303 Route 130 N, Burlington, New Jersey |
| Authorized Official Name and Position | Joy A. Duckett (CO-OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6094561584 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Duckett & Charleston Psychological Associates, Llc 1303 Route 130 N Burlington NJ 08016-2014 Ph: (609) 456-1584 | Duckett & Charleston Psychological Associates, Llc 1303 Route 130 N Burlington NJ 08016-2014 Ph: (609) 456-1584 |
| NPI Number | 1134659410 |
|---|---|
| Provider Enumeration Date | 06/19/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0446609283 |
|---|---|
| Medicare Enrollment ID | O20231206000136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134659410 | NPI | - | NPPES |
| 1376967760 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 5241 (New Jersey) | Primary |
| Provider Name | Joy Duckett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376967760 PECOS PAC ID: 8426372780 Enrollment ID: I20231205002072 |
| Provider Name | Robin Charleston |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851536288 PECOS PAC ID: 1355790197 Enrollment ID: I20240528003517 |
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