Central Jersey Psychological Services, Llc | |
205 Route 9 N Suite # 6 Freehold NJ 07728-8561 | |
(732) 845-5068 | |
Not Available |
Full Name | Central Jersey Psychological Services, Llc |
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Speciality | Clinic/Center |
Location | 205 Route 9 N, Freehold, New Jersey |
Authorized Official Name and Position | Gina Rudolph (OWNER / PSYCHOLOGIST) |
Authorized Official Contact | 7328455068 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Jersey Psychological Services, Llc 205 Route 9 N Suite # 6 Freehold NJ 07728-8561 Ph: (732) 845-5068 | Central Jersey Psychological Services, Llc 205 Route 9 N Suite # 6 Freehold NJ 07728-8561 Ph: (732) 845-5068 |
NPI Number | 1215186184 |
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Provider Enumeration Date | 09/16/2008 |
Last Update Date | 09/16/2008 |
Medicare PECOS PAC ID | 3476610809 |
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Medicare Enrollment ID | O20090330000241 |
Identifier | Type | State | Issuer |
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1215186184 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 4513 (New Jersey) | Primary |
Provider Name | Gina Rudolph |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1215107503 PECOS PAC ID: 1850460205 Enrollment ID: I20080527000429 |
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