| Tishanna D Majette Phd Corporation | |
|
3000 Atrium Way Ste 200 Mount Laurel NJ 08054 | |
| (856) 522-3123 | |
| Not Available |
| Full Name | Tishanna D Majette Phd Corporation |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 3000 Atrium Way Ste 200, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Tishanna D Majette (OWNER) |
| Authorized Official Contact | 8565223123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tishanna D Majette Phd Corporation 3000 Atrium Way Ste 200 Mount Laurel NJ 08054-3910 Ph: (856) 522-3123 | Tishanna D Majette Phd Corporation 3000 Atrium Way Ste 200 Mount Laurel NJ 08054 Ph: (856) 522-3123 |
| NPI Number | 1750893954 |
|---|---|
| Provider Enumeration Date | 10/27/2017 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750893954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 35SI00581600 (New Jersey) | Primary |
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