| Pennsville Counseling Associates, L.l.c. | |
|
545 Beckett Rd Ste 207 Swedesboro NJ 08085-1512 | |
| (856) 467-1000 | |
| (856) 467-1150 |
| Full Name | Pennsville Counseling Associates, L.l.c. |
|---|---|
| Speciality | Psychologist |
| Location | 545 Beckett Rd Ste 207, Swedesboro, New Jersey |
| Authorized Official Name and Position | Guy Carrere Woodruff (MANAGER) |
| Authorized Official Contact | 8564671000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennsville Counseling Associates, L.l.c. 545 Beckett Rd Ste 207 Swedesboro NJ 08085-1512 Ph: (856) 467-1000 | Pennsville Counseling Associates, L.l.c. 545 Beckett Rd Ste 207 Swedesboro NJ 08085-1512 Ph: (856) 467-1000 |
| NPI Number | 1376756577 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 3971567355 |
|---|---|
| Medicare Enrollment ID | O20041117000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376756577 | NPI | - | NPPES |
| 073393 | Other | NJ | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Guy C Woodruff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346460516 PECOS PAC ID: 9931151305 Enrollment ID: I20050407000137 |
| Provider Name | David A Wasser |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770636763 PECOS PAC ID: 7719939198 Enrollment ID: I20050509000090 |
| Provider Name | Priscilla D Bright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831306927 PECOS PAC ID: 3476505843 Enrollment ID: I20081223000107 |
| Provider Name | Norman D Schaffer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932285244 PECOS PAC ID: 9739230103 Enrollment ID: I20090624000558 |
| Provider Name | Alicia Macintire-cain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891921094 PECOS PAC ID: 1951456771 Enrollment ID: I20090831000569 |
| Provider Name | Miriam Richter Matz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154472132 PECOS PAC ID: 0547209280 Enrollment ID: I20131212001496 |
| Provider Name | Rebecca K Olejniczak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942625124 PECOS PAC ID: 0749405181 Enrollment ID: I20140627000858 |
| Provider Name | Rebecca L Whitten |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902235039 PECOS PAC ID: 2668791344 Enrollment ID: I20150430001284 |
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