| Shore Psychology Associates, Llc | |
|
200 Atlantic Ave Suite K Manasquan NJ 08736-1352 | |
| (732) 292-0388 | |
| (732) 292-0399 |
| Full Name | Shore Psychology Associates, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 200 Atlantic Ave, Manasquan, New Jersey |
| Authorized Official Name and Position | Dolores Ann Reilly (FOUNDING DIRECTOR) |
| Authorized Official Contact | 7322920388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shore Psychology Associates, Llc 200 Atlantic Ave Suite K Manasquan NJ 08736-1352 Ph: (732) 292-0388 | Shore Psychology Associates, Llc 200 Atlantic Ave Suite K Manasquan NJ 08736-1352 Ph: (732) 292-0388 |
| NPI Number | 1306914338 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7012992787 |
|---|---|
| Medicare Enrollment ID | O20040618000922 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306914338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35SI00385000 (New Jersey) | Primary |
| Provider Name | Dolores A Reilly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003938812 PECOS PAC ID: 4587647110 Enrollment ID: I20040612000357 |
| Provider Name | Kerry A Greaney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538284047 PECOS PAC ID: 4880656644 Enrollment ID: I20041103000446 |
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