| The Space Between Therapy & Comprehensive Psychological Services, Llc | |
|
100 Ryders Ln Ste 120 Milltown NJ 08850-1263 | |
| (973) 610-8909 | |
| Not Available |
| Full Name | The Space Between Therapy & Comprehensive Psychological Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 100 Ryders Ln Ste 120, Milltown, New Jersey |
| Authorized Official Name and Position | Jessica Corrigan (DIRECTOR) |
| Authorized Official Contact | 7328612022 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Space Between Therapy & Comprehensive Psychological Services, Llc 100 Ryders Ln Ste 120 Milltown NJ 08850-1263 Ph: (973) 610-8909 | The Space Between Therapy & Comprehensive Psychological Services, Llc 100 Ryders Ln Ste 120 Milltown NJ 08850-1263 Ph: (973) 610-8909 |
| NPI Number | 1518739721 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Medicare PECOS PAC ID | 2062869563 |
|---|---|
| Medicare Enrollment ID | O20231106000408 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518739721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jessica Corrigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235800764 PECOS PAC ID: 9032507439 Enrollment ID: I20211103001608 |
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