| Itc | |
|
108 Fairway Ter Mount Laurel NJ 08054-2321 | |
| (609) 304-4624 | |
| Not Available |
| Full Name | Itc |
|---|---|
| Speciality | Psychologist |
| Location | 108 Fairway Ter, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Jared Michael Scherz (DIRECTOR) |
| Authorized Official Contact | 6093044624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Itc 108 Fairway Ter Mount Laurel NJ 08054-2321 Ph: (609) 304-4624 | Itc 108 Fairway Ter Mount Laurel NJ 08054-2321 Ph: (609) 304-4624 |
| NPI Number | 1285783357 |
|---|---|
| Provider Enumeration Date | 01/09/2007 |
| Last Update Date | 06/17/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 2365689874 |
|---|---|
| Medicare Enrollment ID | O20130430000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285783357 | NPI | - | NPPES |
| 2101101000 | Other | NJ | INDEPENDENCE BC |
| 2101101000 | Other | PA | INDEPENDENCE BLUE CROSS |
| Provider Name | Jared Michael Scherz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003907791 PECOS PAC ID: 3870730385 Enrollment ID: I20130502000467 |
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