| Vanessa Marcantuono, Ph.d., Llc | |
|
12 Reckless Pl Red Bank NJ 07701-1704 | |
| (973) 652-1324 | |
| Not Available |
| Full Name | Vanessa Marcantuono, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 12 Reckless Pl, Red Bank, New Jersey |
| Authorized Official Name and Position | Vanessa Marcantuono (OWNER) |
| Authorized Official Contact | 9736521324 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanessa Marcantuono, Ph.d., Llc 108 Monmouth Blvd Oceanport NJ 07757-1623 Ph: (973) 652-1324 | Vanessa Marcantuono, Ph.d., Llc 12 Reckless Pl Red Bank NJ 07701-1704 Ph: (973) 652-1324 |
| NPI Number | 1295185353 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 06/20/2016 |
| Medicare PECOS PAC ID | 0840578829 |
|---|---|
| Medicare Enrollment ID | O20161026000439 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295185353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35SI00411500 (New Jersey) | Primary |
| Provider Name | Vanessa Marcantuono |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790893923 PECOS PAC ID: 4789854332 Enrollment ID: I20161121001213 |
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