Strength Of Mind Llc | |
17 Hillside Way Short Hills NJ 07078-2118 | |
(646) 256-0859 | |
Not Available |
Full Name | Strength Of Mind Llc |
---|---|
Speciality | Psychologist |
Location | 17 Hillside Way, Short Hills, New Jersey |
Authorized Official Name and Position | Michelle Berniker (MANAGING MEMBER) |
Authorized Official Contact | 6462560859 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Strength Of Mind Llc 17 Hillside Way Short Hills NJ 07078-2118 Ph: (646) 256-0859 | Strength Of Mind Llc 17 Hillside Way Short Hills NJ 07078-2118 Ph: (646) 256-0859 |
NPI Number | 1417468182 |
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Provider Enumeration Date | 10/20/2017 |
Last Update Date | 10/20/2017 |
Medicare PECOS PAC ID | 3971856287 |
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Medicare Enrollment ID | O20181101002827 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417468182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Michelle Davis Berniker |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1699294157 PECOS PAC ID: 4880947191 Enrollment ID: I20181101002924 |
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