| Jacqueline Farnese, Psy.d., Llc | |
|
109 Spring St Bordentown NJ 08505-1853 | |
| (732) 618-2969 | |
| Not Available |
| Full Name | Jacqueline Farnese, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 109 Spring St, Bordentown, New Jersey |
| Authorized Official Name and Position | Jacqueline Farnese (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6094529794 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Farnese, Psy.d., Llc 109 Spring St Bordentown NJ 08505-1853 Ph: (732) 618-2969 | Jacqueline Farnese, Psy.d., Llc 109 Spring St Bordentown NJ 08505-1853 Ph: (732) 618-2969 |
| NPI Number | 1992046726 |
|---|---|
| Provider Enumeration Date | 03/04/2013 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Medicare PECOS PAC ID | 4183856024 |
|---|---|
| Medicare Enrollment ID | O20140408002111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992046726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jacqueline Farnese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659611028 PECOS PAC ID: 8527290469 Enrollment ID: I20140408002171 |
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