Moorestown Integrative Wellness Inc. | |
505 S Lenola Rd Ste 210 Moorestown NJ 08057-1549 | |
(732) 404-7323 | |
Not Available |
Full Name | Moorestown Integrative Wellness Inc. |
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Speciality | Psychologist |
Location | 505 S Lenola Rd Ste 210, Moorestown, New Jersey |
Authorized Official Name and Position | Angela L Kurzyna (DIRECTOR/ HEALTH PSYCHOLOGIST) |
Authorized Official Contact | 7324047323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Moorestown Integrative Wellness Inc. 8 Wilkins Station Rd Medford NJ 08055-9659 Ph: (732) 404-7323 | Moorestown Integrative Wellness Inc. 505 S Lenola Rd Ste 210 Moorestown NJ 08057-1549 Ph: (732) 404-7323 |
NPI Number | 1336746189 |
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Provider Enumeration Date | 10/05/2020 |
Last Update Date | 10/05/2020 |
Certification Date | 10/05/2020 |
Medicare PECOS PAC ID | 1153712823 |
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Medicare Enrollment ID | O20220107000506 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336746189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TH0004X | Psychologist - Health | (* (Not Available)) | Primary |
Provider Name | Angela Lynn Kurzyna |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1982085114 PECOS PAC ID: 8224347786 Enrollment ID: I20180815000029 |
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