| Duckett & Charleston Psychological Associates, Llc | |
|
3221 Route 38 Ste 201 Mount Laurel NJ 08054-9765 | |
| (609) 251-6947 | |
| Not Available |
| Full Name | Duckett & Charleston Psychological Associates, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3221 Route 38 Ste 201, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Amanda M Coinbert (OFFICE MANAGER) |
| Authorized Official Contact | 6092516947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duckett & Charleston Psychological Associates, Llc 3221 Route 38 Ste 201 Mount Laurel NJ 08054-9765 Ph: (609) 251-6947 | Duckett & Charleston Psychological Associates, Llc 3221 Route 38 Ste 201 Mount Laurel NJ 08054-9765 Ph: (609) 251-6947 |
| NPI Number | 1053000489 |
|---|---|
| Provider Enumeration Date | 05/02/2023 |
| Last Update Date | 05/02/2023 |
| Certification Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053000489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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