| Jennifer Ra Llc | |
|
307 Bloomfield Ave Ste 301 Caldwell NJ 07006-5105 | |
| (973) 524-6501 | |
| Not Available |
| Full Name | Jennifer Ra Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 307 Bloomfield Ave Ste 301, Caldwell, New Jersey |
| Authorized Official Name and Position | Jennifer Ra (PSYCHOLOGIST) |
| Authorized Official Contact | 2012322806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ra Llc 307 Bloomfield Ave Ste 301 Caldwell NJ 07006-5105 Ph: (973) 524-6501 | Jennifer Ra Llc 307 Bloomfield Ave Ste 301 Caldwell NJ 07006-5105 Ph: (973) 524-6501 |
| NPI Number | 1891303392 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891303392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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