| Multicultural Counseling And Testing Center | |
|
893 Westfield Ave Elizabeth NJ 07208-1258 | |
| (973) 652-2753 | |
| (908) 998-1605 |
| Full Name | Multicultural Counseling And Testing Center |
|---|---|
| Speciality | Psychologist |
| Location | 893 Westfield Ave, Elizabeth, New Jersey |
| Authorized Official Name and Position | Ghislene Meance (OWNER) |
| Authorized Official Contact | 9736522753 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicultural Counseling And Testing Center 893 Westfield Ave Elizabeth NJ 07208-1258 Ph: (973) 652-2753 | Multicultural Counseling And Testing Center 893 Westfield Ave Elizabeth NJ 07208-1258 Ph: (973) 652-2753 |
| NPI Number | 1104111095 |
|---|---|
| Provider Enumeration Date | 06/19/2011 |
| Last Update Date | 06/19/2011 |
| Medicare PECOS PAC ID | 1658668736 |
|---|---|
| Medicare Enrollment ID | O20160919001133 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104111095 | NPI | - | NPPES |
| 6920520 | Other | NJ | AETNA BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 4566 (New Jersey) | Primary |
| Provider Name | Ghislene Meance |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811164700 PECOS PAC ID: 7911294905 Enrollment ID: I20160919001929 |
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