| Starace Psychological Health Pc | |
|
50 Church St Ste 112 Montclair NJ 07042-2761 | |
| (650) 485-3548 | |
| Not Available |
| Full Name | Starace Psychological Health Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 50 Church St Ste 112, Montclair, New Jersey |
| Authorized Official Name and Position | Nicole Katherine Starace (PRESIDENT) |
| Authorized Official Contact | 6504853548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starace Psychological Health Pc 900 Stevens Ave Westfield NJ 07090-1219 Ph: (650) 485-3548 | Starace Psychological Health Pc 50 Church St Ste 112 Montclair NJ 07042-2761 Ph: (650) 485-3548 |
| NPI Number | 1376368845 |
|---|---|
| Provider Enumeration Date | 11/20/2024 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376368845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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