| Solace Therapy And Evaluation, Llc | |
|
525 Route 70 Suite A-3 Lakewood NJ 08701-5847 | |
| (848) 218-1601 | |
| Not Available |
| Full Name | Solace Therapy And Evaluation, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 525 Route 70, Lakewood, New Jersey |
| Authorized Official Name and Position | Lydia Zarrella-timmerman (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8482181601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solace Therapy And Evaluation, Llc 525 Route 70 Suite A-3 Lakewood NJ 08701-5847 Ph: () - | Solace Therapy And Evaluation, Llc 525 Route 70 Suite A-3 Lakewood NJ 08701-5847 Ph: (848) 218-1601 |
| NPI Number | 1780132415 |
|---|---|
| Provider Enumeration Date | 09/11/2016 |
| Last Update Date | 09/11/2016 |
| Medicare PECOS PAC ID | 7517255821 |
|---|---|
| Medicare Enrollment ID | O20161019000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780132415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00566100 (New Jersey) | Primary |
| Provider Name | Lydia Zarrella-timmerman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629522016 PECOS PAC ID: 8426346735 Enrollment ID: I20161019000552 |
| Provider Name | Elisabeth Grace Endrikat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962095364 PECOS PAC ID: 9739588930 Enrollment ID: I20210520000080 |
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