| Jucelia Pitt Llc | |
|
155 County Rd Suite 11 Cresskill NJ 07626-2200 | |
| (201) 790-5235 | |
| Not Available |
| Full Name | Jucelia Pitt Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 155 County Rd, Cresskill, New Jersey |
| Authorized Official Name and Position | Jucelia S Pitt (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2017905235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jucelia Pitt Llc 155 County Rd Suite 11 Cresskill NJ 07626-2200 Ph: (201) 790-5235 | Jucelia Pitt Llc 155 County Rd Suite 11 Cresskill NJ 07626-2200 Ph: (201) 790-5235 |
| NPI Number | 1760828057 |
|---|---|
| Provider Enumeration Date | 05/14/2013 |
| Last Update Date | 05/14/2013 |
| Medicare PECOS PAC ID | 5193048908 |
|---|---|
| Medicare Enrollment ID | O20150102000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760828057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05430400 (New Jersey) | Primary |
| Provider Name | Jucelia Sirichuk Pitt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427363613 PECOS PAC ID: 6002139813 Enrollment ID: I20150108000199 |
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