| Meratrip, Llc | |
|
1812 Front St Scotch Plains NJ 07076-1103 | |
| (908) 322-2050 | |
| (908) 462-3829 |
| Full Name | Meratrip, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1812 Front St, Scotch Plains, New Jersey |
| Authorized Official Name and Position | Amber M Johnson (PSYCHOLOGIST) |
| Authorized Official Contact | 9083222050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Meratrip, Llc 1812 Front St Scotch Plains NJ 07076-1103 Ph: (908) 322-2050 | Meratrip, Llc 1812 Front St Scotch Plains NJ 07076-1103 Ph: (908) 322-2050 |
| NPI Number | 1689922684 |
|---|---|
| Provider Enumeration Date | 08/22/2012 |
| Last Update Date | 09/27/2012 |
| Medicare PECOS PAC ID | 8820248305 |
|---|---|
| Medicare Enrollment ID | O20121018000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689922684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35SI00449300 (New Jersey) | Primary |
| Provider Name | Amber M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881879799 PECOS PAC ID: 3173670221 Enrollment ID: I20090408000031 |
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