| Elvira Anselmi, Phd, Pc | |
|
236 Washington Ave Kenilworth NJ 07033-1132 | |
| (201) 400-4972 | |
| Not Available |
| Full Name | Elvira Anselmi, Phd, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 236 Washington Ave, Kenilworth, New Jersey |
| Authorized Official Name and Position | Elvira Anselmi (PRESIDENT) |
| Authorized Official Contact | 2014004972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elvira Anselmi, Phd, Pc 236 Washington Ave Kenilworth NJ 07033-1132 Ph: (201) 400-4972 | Elvira Anselmi, Phd, Pc 236 Washington Ave Kenilworth NJ 07033-1132 Ph: (201) 400-4972 |
| NPI Number | 1548309842 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Medicare PECOS PAC ID | 2466537154 |
|---|---|
| Medicare Enrollment ID | O20080305000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548309842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00388800 (New Jersey) | Primary |
| Provider Name | Elvira Anselmi |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841474129 PECOS PAC ID: 2466493705 Enrollment ID: I20050518000040 |
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