| Tabula Rasa Psychotherapy, Llc | |
|
190 Wiley Ave Plainfield NJ 07062-1343 | |
| (973) 637-0375 | |
| Not Available |
| Full Name | Tabula Rasa Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 190 Wiley Ave, Plainfield, New Jersey |
| Authorized Official Name and Position | Jennifer Charice Sumerlin (LIC. MARRIAGE & FAMILY THERAPIST) |
| Authorized Official Contact | 9736370375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabula Rasa Psychotherapy, Llc 190 Wiley Ave Plainfield NJ 07062-1343 Ph: (973) 637-0375 | Tabula Rasa Psychotherapy, Llc 190 Wiley Ave Plainfield NJ 07062-1343 Ph: (973) 637-0375 |
| NPI Number | 1194489161 |
|---|---|
| Provider Enumeration Date | 10/26/2021 |
| Last Update Date | 10/26/2021 |
| Certification Date | 10/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194489161 | NPI | - | NPPES |
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