| Jeannette Devaris Corporation | |
|
189 Summit Ave Summit NJ 07901-2967 | |
| (908) 522-0800 | |
| Not Available |
| Full Name | Jeannette Devaris Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 189 Summit Ave, Summit, New Jersey |
| Authorized Official Name and Position | Jeannette M Devaris (PSYCHOLOGIST) |
| Authorized Official Contact | 9085220800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeannette Devaris Corporation 189 Summit Ave. Summit NJ 07901-2967 Ph: (908) 522-0800 | Jeannette Devaris Corporation 189 Summit Ave Summit NJ 07901-2967 Ph: (908) 522-0800 |
| NPI Number | 1811186430 |
|---|---|
| Provider Enumeration Date | 10/19/2007 |
| Last Update Date | 10/19/2007 |
| Medicare PECOS PAC ID | 7618065426 |
|---|---|
| Medicare Enrollment ID | O20071113000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811186430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jeannette M Devaris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568481745 PECOS PAC ID: 2365486925 Enrollment ID: I20050614001109 |
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