| Rowansom Dept. Of Psychiatry | |
|
42 E Laurel Rd Suite 2100 Stratford NJ 08084-1354 | |
| (856) 566-7020 | |
| (856) 566-6188 |
| Full Name | Rowansom Dept. Of Psychiatry |
|---|---|
| Speciality | Psychologist |
| Location | 42 E Laurel Rd, Stratford, New Jersey |
| Authorized Official Name and Position | Michael Rieker (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 8565666994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rowansom Dept. Of Psychiatry 42 E Laurel Rd Suite 2100 Stratford NJ 08084-1354 Ph: (856) 566-7020 | Rowansom Dept. Of Psychiatry 42 E Laurel Rd Suite 2100 Stratford NJ 08084-1354 Ph: (856) 566-7020 |
| NPI Number | 1407210370 |
|---|---|
| Provider Enumeration Date | 04/07/2016 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407210370 | NPI | - | NPPES |
| 0499056 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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