| Mary Martone Psyd Llc | |
|
10 Fairmount Ave Chatham NJ 07928-2343 | |
| (973) 985-3284 | |
| Not Available |
| Full Name | Mary Martone Psyd Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 10 Fairmount Ave, Chatham, New Jersey |
| Authorized Official Name and Position | Maria Grazia Martone (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9739853284 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Martone Psyd Llc 41 Elizabeth Ct New Providence NJ 07974-1625 Ph: (973) 985-3284 | Mary Martone Psyd Llc 10 Fairmount Ave Chatham NJ 07928-2343 Ph: (973) 985-3284 |
| NPI Number | 1881339299 |
|---|---|
| Provider Enumeration Date | 04/29/2022 |
| Last Update Date | 04/29/2022 |
| Certification Date | 04/28/2022 |
| Medicare PECOS PAC ID | 6002293594 |
|---|---|
| Medicare Enrollment ID | O20220523002498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881339299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Maria G Martone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750457248 PECOS PAC ID: 9739232877 Enrollment ID: I20090806000417 |
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