| Gina E. Rayfield & Associates | |
|
24 E Logan Rd Randolph NJ 07869-2622 | |
| (973) 927-1818 | |
| (973) 927-1679 |
| Full Name | Gina E. Rayfield & Associates |
|---|---|
| Speciality | Psychologist |
| Location | 24 E Logan Rd, Randolph, New Jersey |
| Authorized Official Name and Position | Gina Eve Rayfield (PRESIDENT) |
| Authorized Official Contact | 9739271818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina E. Rayfield & Associates 24 E Logan Rd Randolph NJ 07869-2622 Ph: (973) 927-1818 | Gina E. Rayfield & Associates 24 E Logan Rd Randolph NJ 07869-2622 Ph: (973) 927-1818 |
| NPI Number | 1558399543 |
|---|---|
| Provider Enumeration Date | 06/29/2006 |
| Last Update Date | 10/04/2007 |
| Medicare PECOS PAC ID | 6406945328 |
|---|---|
| Medicare Enrollment ID | O20071130000043 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558399543 | NPI | - | NPPES |
| 4992202 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | SI 2293 (New Jersey) | Primary |
| Provider Name | Gina E Rayfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205017324 PECOS PAC ID: 0840236725 Enrollment ID: I20050630000551 |
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