Tara Marie Lally, PHD LPC | |
1610 Route 88 W, Brick, NJ 08724-3018 | |
(732) 295-6543 | |
Not Available |
Full Name | Tara Marie Lally |
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Gender | Female |
Speciality | Psychologist |
Location | 1610 Route 88 W, Brick, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760641344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 35SI00491300 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Entity Name | Hackensack Meridian Health Medical Group - Complex Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154379626 PECOS PAC ID: 0446272298 Enrollment ID: O20060109000000 |
Mailing Address | Practice Location Address |
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Tara Marie Lally, PHD LPC 1610 Route 88 W, Brick, NJ 08724-3018 Ph: (732) 295-6543 | Tara Marie Lally, PHD LPC 1610 Route 88 W, Brick, NJ 08724-3018 Ph: (732) 295-6543 |
Mackenzie Keefe, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 970 Nj Route 70, Brick, NJ 08724 Phone: 732-784-0983 | |
Dr. George William Mcdermott, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 115 Princeton Ave, Brick, NJ 08724 Phone: 732-458-6748 | |
Alyssa Marie Cocchiarella, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Marys Dr, Brick, NJ 08723 Phone: 732-288-5696 | |
Dr. Justine Fulton, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 445 Brick Blvd Ste 302, Brick, NJ 08723 Phone: 908-415-6354 | |
Carole M Beyer, ED D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1683 Route 88, Brick, NJ 08724 Phone: 732-840-5266 Fax: 732-840-7840 | |
Dr. Adam David Christmann, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1683 Route 88 W Ste A, Brick, NJ 08724 Phone: 732-840-5266 | |
Dr. Jay B Gordon, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1683 Route 88, Brick, NJ 08724 Phone: 732-840-5266 Fax: 732-840-7840 |