Edward M Barrett | |
4 Karen Dr Milltown NJ 08850-2124 | |
(732) 297-9696 | |
Not Available |
Full Name | Edward M Barrett |
---|---|
Speciality | Psychologist |
Location | 4 Karen Dr, Milltown, New Jersey |
Authorized Official Name and Position | Edward M Barrett (OWNER) |
Authorized Official Contact | 7322979696 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Edward M Barrett Po Box 603 Milltown NJ 08850-0603 Ph: () - | Edward M Barrett 4 Karen Dr Milltown NJ 08850-2124 Ph: (732) 297-9696 |
NPI Number | 1376247445 |
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Provider Enumeration Date | 03/30/2023 |
Last Update Date | 03/30/2023 |
Certification Date | 03/30/2023 |
Medicare PECOS PAC ID | 7911363551 |
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Medicare Enrollment ID | O20230523003632 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376247445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Provider Name | Edward M Barrett |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1710062419 PECOS PAC ID: 5294798732 Enrollment ID: I20050105000386 |
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