| Nover Psychological Services, Llc | |
|
75 W Main St Freehold NJ 07728-2114 | |
| (732) 431-3000 | |
| (732) 431-3037 |
| Full Name | Nover Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 75 W Main St, Freehold, New Jersey |
| Authorized Official Name and Position | Michael L. Nover (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7324313000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nover Psychological Services, Llc 75 W Main St Freehold NJ 07728-2114 Ph: (732) 431-3000 | Nover Psychological Services, Llc 75 W Main St Freehold NJ 07728-2114 Ph: (732) 431-3000 |
| NPI Number | 1215390570 |
|---|---|
| Provider Enumeration Date | 04/03/2016 |
| Last Update Date | 04/03/2016 |
| Medicare PECOS PAC ID | 8628376910 |
|---|---|
| Medicare Enrollment ID | O20160420001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215390570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00275100 (New Jersey) | Primary |
| Provider Name | Michael L Nover |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326196551 PECOS PAC ID: 3779525282 Enrollment ID: I20050525000412 |
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