Tatewide Clinical Services, Llc | |
345 Somerset St Suite L5 North Plainfield NJ 07060-4774 | |
(908) 391-7315 | |
Not Available |
Full Name | Tatewide Clinical Services, Llc |
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Speciality | Psychologist |
Location | 345 Somerset St, North Plainfield, New Jersey |
Authorized Official Name and Position | Luis A Guerreiro (PSYCHOLOGIST9) |
Authorized Official Contact | 9083917315 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tatewide Clinical Services, Llc Po Box 5247 Newark NJ 07105-0247 Ph: (908) 391-7315 | Tatewide Clinical Services, Llc 345 Somerset St Suite L5 North Plainfield NJ 07060-4774 Ph: (908) 391-7315 |
NPI Number | 1417362468 |
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Provider Enumeration Date | 06/29/2014 |
Last Update Date | 06/29/2014 |
Identifier | Type | State | Issuer |
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1417362468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 35SI00294300 (New Jersey) | Primary |
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