Value Life Psychological Services, Llc | |
908 Pompton Ave Ste B2 Cedar Grove NJ 07009-1263 | |
(973) 239-0024 | |
(973) 629-1616 |
Full Name | Value Life Psychological Services, Llc |
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Speciality | Psychologist |
Location | 908 Pompton Ave Ste B2, Cedar Grove, New Jersey |
Authorized Official Name and Position | Radha Bhatia (PRESIDENT) |
Authorized Official Contact | 9732390024 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Value Life Psychological Services, Llc 908 Pompton Ave Ste B2 Cedar Grove NJ 07009-1263 Ph: (973) 239-0024 | Value Life Psychological Services, Llc 908 Pompton Ave Ste B2 Cedar Grove NJ 07009-1263 Ph: (973) 239-0024 |
NPI Number | 1962438663 |
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Provider Enumeration Date | 06/24/2006 |
Last Update Date | 12/13/2009 |
Medicare PECOS PAC ID | 0941213052 |
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Medicare Enrollment ID | O20060713000015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962438663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Radha P Bhatia |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215969324 PECOS PAC ID: 4981646619 Enrollment ID: I20050524000264 |
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