| John Stephen Loconte Phd Llc | |
|
697 Valley St Suite 2a Maplewood NJ 07040-2641 | |
| (973) 762-7162 | |
| (973) 762-7164 |
| Full Name | John Stephen Loconte Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 697 Valley St, Maplewood, New Jersey |
| Authorized Official Name and Position | John S Loconte (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9737627162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Stephen Loconte Phd Llc 697 Valley St Suite 2a Maplewood NJ 07040-2641 Ph: (973) 762-7162 | John Stephen Loconte Phd Llc 697 Valley St Suite 2a Maplewood NJ 07040-2641 Ph: (973) 762-7162 |
| NPI Number | 1467776492 |
|---|---|
| Provider Enumeration Date | 03/19/2010 |
| Last Update Date | 03/19/2010 |
| Medicare PECOS PAC ID | 0446386627 |
|---|---|
| Medicare Enrollment ID | O20100326000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467776492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35S100359800 (New Jersey) | Primary |
| Provider Name | John S Lo Conte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538373766 PECOS PAC ID: 1759323561 Enrollment ID: I20050523000623 |
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