| Octave Behavioral Pc | |
|
100 Charles Ewing Blvd Ste 1600 Ewing NJ 08628-3454 | |
| (415) 360-3833 | |
| (628) 234-3068 |
| Full Name | Octave Behavioral Pc |
|---|---|
| Speciality | Psychologist |
| Location | 100 Charles Ewing Blvd Ste 1600, Ewing, New Jersey |
| Authorized Official Name and Position | Kym Everett (VP, REVENUE OPERATIONS) |
| Authorized Official Contact | 6505042289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Octave Behavioral Pc 625 Market St Fl 15 San Francisco CA 94105-3316 Ph: (415) 360-3853 | Octave Behavioral Pc 100 Charles Ewing Blvd Ste 1600 Ewing NJ 08628-3454 Ph: (415) 360-3833 |
| NPI Number | 1356069173 |
|---|---|
| Provider Enumeration Date | 08/17/2022 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356069173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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