| Ellen M Herr-israel Ph D Llc | |
|
166 Bunn Dr Ste 102 Princeton NJ 08540-2800 | |
| (908) 625-1534 | |
| Not Available |
| Full Name | Ellen M Herr-israel Ph D Llc |
|---|---|
| Speciality | Psychologist |
| Location | 166 Bunn Dr Ste 102, Princeton, New Jersey |
| Authorized Official Name and Position | Ellen Herr-israel (PSYCHOLOGIST) |
| Authorized Official Contact | 9086251534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen M Herr-israel Ph D Llc 166 Bunn Dr Ste 102 Princeton NJ 08540-2800 Ph: (908) 625-1534 | Ellen M Herr-israel Ph D Llc 166 Bunn Dr Ste 102 Princeton NJ 08540-2800 Ph: (908) 625-1534 |
| NPI Number | 1184171464 |
|---|---|
| Provider Enumeration Date | 09/05/2016 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 8224443296 |
|---|---|
| Medicare Enrollment ID | O20210225000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184171464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | 35SI00563100 (New Jersey) | Primary |
| Provider Name | Ellen Herr-israel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003370693 PECOS PAC ID: 9133534100 Enrollment ID: I20210408000967 |
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