| Wellsprings Holistic Medicine Llc | |
|
813 E Gate Dr Suite B Mount Laurel NJ 08054-1238 | |
| (609) 481-5830 | |
| (856) 222-9916 |
| Full Name | Wellsprings Holistic Medicine Llc |
|---|---|
| Speciality | General Practice |
| Location | 813 E Gate Dr, Mount Laurel, New Jersey |
| Authorized Official Name and Position | Lynn P Delaurentis (ADMINISTRATOR) |
| Authorized Official Contact | 6094815830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellsprings Holistic Medicine Llc 813 E Gate Dr Suite B Mount Laurel NJ 08054-1238 Ph: (609) 481-5830 | Wellsprings Holistic Medicine Llc 813 E Gate Dr Suite B Mount Laurel NJ 08054-1238 Ph: (609) 481-5830 |
| NPI Number | 1114371697 |
|---|---|
| Provider Enumeration Date | 04/20/2016 |
| Last Update Date | 04/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114371697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | SI00144600 (New Jersey) | Secondary |
| 208D00000X | General Practice | 25MB05189200 (New Jersey) | Primary |
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