| Jessica Auth, Phd Llc | |
|
697 Valley St Ste 1c Maplewood NJ 07040-2641 | |
| (917) 743-2755 | |
| Not Available |
| Full Name | Jessica Auth, Phd Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 697 Valley St Ste 1c, Maplewood, New Jersey |
| Authorized Official Name and Position | Jessica Auth (MANAGING MEMBER) |
| Authorized Official Contact | 9177432755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Auth, Phd Llc 51 Headley Pl Maplewood NJ 07040-1134 Ph: (917) 743-2755 | Jessica Auth, Phd Llc 697 Valley St Ste 1c Maplewood NJ 07040-2641 Ph: (917) 743-2755 |
| NPI Number | 1720816937 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720816937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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