| Mark A. Tarangioli, Psy.d. Llc | |
|
3804 Church Rd Mount Laurel NJ 08054-1106 | |
| (856) 761-4823 | |
| Not Available |
| Full Name | Mark A. Tarangioli, Psy.d. Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3804 Church Rd, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Mark Tarangioli (PSYCHOLOGIST) |
| Authorized Official Contact | 8567614823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Tarangioli, Psy.d. Llc 3804 Church Rd Mount Laurel NJ 08054-1106 Ph: () - | Mark A. Tarangioli, Psy.d. Llc 3804 Church Rd Mount Laurel NJ 08054-1106 Ph: (856) 761-4823 |
| NPI Number | 1508263724 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/03/2014 |
| Medicare PECOS PAC ID | 6305162637 |
|---|---|
| Medicare Enrollment ID | O20150304002115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508263724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mark A Tarangioli |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609974336 PECOS PAC ID: 7113243445 Enrollment ID: I20150305000175 |
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