Linda Mass Psychotherapist Llc | |
1 Troy Dr Livingston NJ 07039-2422 | |
(973) 992-8078 | |
(973) 992-1820 |
Full Name | Linda Mass Psychotherapist Llc |
---|---|
Speciality | Social Worker |
Location | 1 Troy Dr, Livingston, New Jersey |
Authorized Official Name and Position | Linda C Mass (PRACTITIONER/OWNER) |
Authorized Official Contact | 9739928078 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Linda Mass Psychotherapist Llc 1 Troy Dr Livingston NJ 07039-2422 Ph: (973) 992-8078 | Linda Mass Psychotherapist Llc 1 Troy Dr Livingston NJ 07039-2422 Ph: (973) 992-8078 |
NPI Number | 1952799116 |
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Provider Enumeration Date | 12/22/2014 |
Last Update Date | 12/22/2014 |
Medicare PECOS PAC ID | 1052636396 |
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Medicare Enrollment ID | O20150209001986 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952799116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Linda C Mass |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750433843 PECOS PAC ID: 6800937491 Enrollment ID: I20100105000070 |
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