| Woodmere Psychotherapy Associates Llc | |
|
34 Mayhew Dr South Orange NJ 07079-1211 | |
| (646) 265-3634 | |
| Not Available |
| Full Name | Woodmere Psychotherapy Associates Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 34 Mayhew Dr, South Orange, New Jersey |
| Authorized Official Name and Position | Sean Michael Gilligan (CEO) |
| Authorized Official Contact | 6462653634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodmere Psychotherapy Associates Llc 34 Mayhew Dr South Orange NJ 07079-1211 Ph: (646) 265-3634 | Woodmere Psychotherapy Associates Llc 34 Mayhew Dr South Orange NJ 07079-1211 Ph: (646) 265-3634 |
| NPI Number | 1679307391 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679307391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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