Freehold Psychology Group | |
149 W Main St Freehold NJ 07728-2051 | |
(732) 780-9898 | |
(732) 780-6447 |
Full Name | Freehold Psychology Group |
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Speciality | Psychologist |
Location | 149 W Main St, Freehold, New Jersey |
Authorized Official Name and Position | Michael G. Miller (GENERAL PARTNER) |
Authorized Official Contact | 7327809898 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Freehold Psychology Group 149 W Main St Freehold NJ 07728-2051 Ph: (732) 780-9898 | Freehold Psychology Group 149 W Main St Freehold NJ 07728-2051 Ph: (732) 780-9898 |
NPI Number | 1902907660 |
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Provider Enumeration Date | 09/26/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5991998957 |
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Medicare Enrollment ID | O20101022000090 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902907660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Cynthia A Mulligan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1720274756 PECOS PAC ID: 5092754788 Enrollment ID: I20050502001248 |
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