Psychology For New Jersey, Llc | |
120 Mountain Park Rd Clifton NJ 07013-1152 | |
(973) 742-3113 | |
Not Available |
Full Name | Psychology For New Jersey, Llc |
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Speciality | Psychologist |
Location | 120 Mountain Park Rd, Clifton, New Jersey |
Authorized Official Name and Position | Michael Abrams (PRESIDENT) |
Authorized Official Contact | 9737423113 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychology For New Jersey, Llc 120 Mountain Park Rd Clifton NJ 07013-1152 Ph: (973) 742-3113 | Psychology For New Jersey, Llc 120 Mountain Park Rd Clifton NJ 07013-1152 Ph: (973) 742-3113 |
NPI Number | 1760735286 |
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Provider Enumeration Date | 10/22/2012 |
Last Update Date | 01/03/2013 |
Medicare PECOS PAC ID | 4385899129 |
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Medicare Enrollment ID | O20130301000063 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760735286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 35S100256400 (* (Not Available)) | Primary |
Provider Name | Michael S Abrams |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1295867729 PECOS PAC ID: 3173561065 Enrollment ID: I20050421000109 |
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