| Roanoke Psychological Services Inc | |
|
71 South Orange Ave Suite 350 South Orange NJ 07079 | |
| (646) 942-6852 | |
| (718) 761-3094 |
| Full Name | Roanoke Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 71 South Orange Ave, South Orange, New Jersey |
| Authorized Official Name and Position | Michele Garner (DIRECTOR) |
| Authorized Official Contact | 6469426852 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roanoke Psychological Services Inc 71 South Orange Ave Suite 350 South Orange NJ 07079 Ph: (646) 942-6852 | Roanoke Psychological Services Inc 71 South Orange Ave Suite 350 South Orange NJ 07079 Ph: (646) 942-6852 |
| NPI Number | 1871681221 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871681221 | NPI | - | NPPES |
| 7218907 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 3177 (New Jersey) | Primary |
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