| Mind And Match Nj, Sc | |
|
80 Main St Ste 505 West Orange NJ 07052-5483 | |
| (608) 284-8867 | |
| Not Available |
| Full Name | Mind And Match Nj, Sc |
|---|---|
| Speciality | Psychologist |
| Location | 80 Main St Ste 505, West Orange, New Jersey |
| Authorized Official Name and Position | Anthony Walton Thrasher (CMO MIND AND MATCH) |
| Authorized Official Contact | 6082848867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind And Match Nj, Sc 867 Boylston St Ste 1582 Boston MA 02116-2774 Ph: () - | Mind And Match Nj, Sc 80 Main St Ste 505 West Orange NJ 07052-5483 Ph: (608) 284-8867 |
| NPI Number | 1689419533 |
|---|---|
| Provider Enumeration Date | 07/01/2024 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689419533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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