| Merchantville Counseling | |
|
109 W Maple Ave Merchantville NJ 08109-2038 | |
| (856) 661-0324 | |
| Not Available |
| Full Name | Merchantville Counseling |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 109 W Maple Ave, Merchantville, New Jersey |
| Authorized Official Name and Position | John Joseph Colyar (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8566610324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merchantville Counseling 109 W Maple Ave Merchantville NJ 08109-2038 Ph: (856) 661-0324 | Merchantville Counseling 109 W Maple Ave Merchantville NJ 08109-2038 Ph: (856) 661-0324 |
| NPI Number | 1952593212 |
|---|---|
| Provider Enumeration Date | 08/10/2007 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952593212 | NPI | - | NPPES |
| 6834906 | Medicaid | NJ | |
| ME002361 | Other | NJ | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | SI02758 (New Jersey) | Primary |
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