| Tristate Sportpsych | |
|
30 Chatham Road #803 Short Hills NJ 07078-0707 | |
| (908) 913-0637 | |
| Not Available |
| Full Name | Tristate Sportpsych |
|---|---|
| Speciality | Psychologist - Exercise & Sports |
| Location | 30 Chatham Road #803, Short Hills, New Jersey |
| Authorized Official Name and Position | Mike Gross (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9089130637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tristate Sportpsych 30 Chatham Road #803 Short Hills NJ 07078-5039 Ph: (908) 913-0637 | Tristate Sportpsych 30 Chatham Road #803 Short Hills NJ 07078-0707 Ph: (908) 913-0637 |
| NPI Number | 1386122489 |
|---|---|
| Provider Enumeration Date | 07/31/2018 |
| Last Update Date | 08/26/2021 |
| Certification Date | 08/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386122489 | NPI | - | NPPES |
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