| Next Generation Neuropsychology, Llc | |
|
2301 E Evesham Rd Ste 206 Voorhees NJ 08043-4504 | |
| (856) 472-6092 | |
| Not Available |
| Full Name | Next Generation Neuropsychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2301 E Evesham Rd Ste 206, Voorhees, New Jersey |
| Authorized Official Name and Position | Jennifer West-gavin (OWNER) |
| Authorized Official Contact | 8568186822 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Next Generation Neuropsychology, Llc 2301 E Evesham Rd Ste 206 Voorhees NJ 08043-4504 Ph: (856) 528-5075 | Next Generation Neuropsychology, Llc 2301 E Evesham Rd Ste 206 Voorhees NJ 08043-4504 Ph: (856) 472-6092 |
| NPI Number | 1669087359 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 01/20/2021 |
| Certification Date | 01/20/2021 |
| Medicare PECOS PAC ID | 3476926452 |
|---|---|
| Medicare Enrollment ID | O20230223000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669087359 | NPI | - | NPPES |
| 1457483349 | Other | SUSAN EDWARDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
| Provider Name | Jennifer Lynn West-gavin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063913176 PECOS PAC ID: 8325471311 Enrollment ID: I20191205000699 |
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