| The New Jersey Institute Of Neurobehavior, Llc | |
|
665 Martinsville Rd Riverwalk Village Center, Suite 218 Basking Ridge NJ 07920-4700 | |
| (908) 604-1100 | |
| (908) 607-1866 |
| Full Name | The New Jersey Institute Of Neurobehavior, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 665 Martinsville Rd, Basking Ridge, New Jersey |
| Authorized Official Name and Position | James Bragonier Gillock (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 9086041100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The New Jersey Institute Of Neurobehavior, Llc 665 Martinsville Rd Riverwalk Village Center, Suite 218 Basking Ridge NJ 07920-4700 Ph: (908) 604-1100 | The New Jersey Institute Of Neurobehavior, Llc 665 Martinsville Rd Riverwalk Village Center, Suite 218 Basking Ridge NJ 07920-4700 Ph: (908) 604-1100 |
| NPI Number | 1033314133 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033314133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 1838 (New Jersey) | Primary |
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