| Present Center For Mindfulness And Healing | |
|
2 Cub Lake Rd Byram Township NJ 07821-4050 | |
| (267) 254-2111 | |
| (302) 543-7780 |
| Full Name | Present Center For Mindfulness And Healing |
|---|---|
| Speciality | Psychologist |
| Location | 2 Cub Lake Rd, Byram Township, New Jersey |
| Authorized Official Name and Position | Lisa Tanner (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3028030119 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Present Center For Mindfulness And Healing 2 Cub Lake Rd Byram Township NJ 07821-4050 Ph: (267) 254-2111 | Present Center For Mindfulness And Healing 2 Cub Lake Rd Byram Township NJ 07821-4050 Ph: (267) 254-2111 |
| NPI Number | 1114468055 |
|---|---|
| Provider Enumeration Date | 03/11/2017 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Medicare PECOS PAC ID | 3173975208 |
|---|---|
| Medicare Enrollment ID | O20240115000031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114468055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | B1-0000944 (Delaware) | Primary |
| Provider Name | Jennifer L Tedesco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992730022 PECOS PAC ID: 6507766474 Enrollment ID: I20240115000069 |
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