| New Jersey Neuropsychology, Llc | |
|
27 Clyde Rd Ste 102 Somerset NJ 08873-5039 | |
| (908) 418-1382 | |
| Not Available |
| Full Name | New Jersey Neuropsychology, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 27 Clyde Rd Ste 102, Somerset, New Jersey |
| Authorized Official Name and Position | John Bradley Fechter (CLINICAL NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 9084181382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Jersey Neuropsychology, Llc 260 E Broad St Apt 8 Westfield NJ 07090-5100 Ph: (908) 418-1382 | New Jersey Neuropsychology, Llc 27 Clyde Rd Ste 102 Somerset NJ 08873-5039 Ph: (908) 418-1382 |
| NPI Number | 1710471875 |
|---|---|
| Provider Enumeration Date | 06/21/2018 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710471875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 35S100594200 (New Jersey) | Primary |
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