Live Well Psychological Services, Llc | |
21 Jennings Rd Ste 1 Manahawkin NJ 08050-3307 | |
(609) 512-5483 | |
(609) 450-7052 |
Full Name | Live Well Psychological Services, Llc |
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Speciality | Psychologist |
Location | 21 Jennings Rd Ste 1, Manahawkin, New Jersey |
Authorized Official Name and Position | Kristen Marie Labin Bekelja (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 6095125483 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Live Well Psychological Services, Llc 21 Jennings Rd Ste 1 Manahawkin NJ 08050-3307 Ph: (609) 512-5483 | Live Well Psychological Services, Llc 21 Jennings Rd Ste 1 Manahawkin NJ 08050-3307 Ph: (609) 512-5483 |
NPI Number | 1265898290 |
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Provider Enumeration Date | 01/06/2016 |
Last Update Date | 10/04/2016 |
Medicare PECOS PAC ID | 9234432048 |
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Medicare Enrollment ID | O20160127002212 |
Identifier | Type | State | Issuer |
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1265898290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 35S100550500 (New Jersey) | Primary |
251S00000X | Community/behavioral Health | 37PC00564800 (New Jersey) | Secondary |
Provider Name | Kristen Marie Labin Bekelja |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649486374 PECOS PAC ID: 0143523951 Enrollment ID: I20160127002275 |
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