| Neuropsychological And Psychodiagnostic Assessment Center Of Nj | |
|
120 Eagle Rock Ave Ste 148 East Hanover NJ 07936-3168 | |
| (862) 591-9819 | |
| (973) 251-9007 |
| Full Name | Neuropsychological And Psychodiagnostic Assessment Center Of Nj |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 120 Eagle Rock Ave Ste 148, East Hanover, New Jersey |
| Authorized Official Name and Position | Joyce Ann Echo (DIRECTOR) |
| Authorized Official Contact | 8625919819 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological And Psychodiagnostic Assessment Center Of Nj 23 Woodcrest Dr Livingston NJ 07039-3849 Ph: (973) 454-5070 | Neuropsychological And Psychodiagnostic Assessment Center Of Nj 120 Eagle Rock Ave Ste 148 East Hanover NJ 07936-3168 Ph: (862) 591-9819 |
| NPI Number | 1699261313 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 07/13/2020 |
| Certification Date | 07/13/2020 |
| Medicare PECOS PAC ID | 6002168929 |
|---|---|
| Medicare Enrollment ID | O20181004000020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699261313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35S100433000 (New Jersey) | Primary |
| Provider Name | Joyce A. Echo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447248422 PECOS PAC ID: 2860436466 Enrollment ID: I20050624000204 |
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