| Robert Pasahow, Phd, Llc | |
|
600 New Rd Northfield NJ 08225-1653 | |
| (609) 641-2500 | |
| Not Available |
| Full Name | Robert Pasahow, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 600 New Rd, Northfield, New Jersey |
| Authorized Official Name and Position | Robert Pasahow (OWNER) |
| Authorized Official Contact | 6096412500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Pasahow, Phd, Llc 600 New Rd Northfield NJ 08225-1653 Ph: (609) 641-2500 | Robert Pasahow, Phd, Llc 600 New Rd Northfield NJ 08225-1653 Ph: (609) 641-2500 |
| NPI Number | 1598221491 |
|---|---|
| Provider Enumeration Date | 02/15/2019 |
| Last Update Date | 02/15/2019 |
| Medicare PECOS PAC ID | 3870834286 |
|---|---|
| Medicare Enrollment ID | O20190412000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598221491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert J Pasahow |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013054683 PECOS PAC ID: 7618939612 Enrollment ID: I20050502001130 |
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