| Haddonfield Psych Management Pa | |
|
31 Tanner Street Haddonfield NJ 08033 | |
| (856) 428-7646 | |
| (856) 216-1839 |
| Full Name | Haddonfield Psych Management Pa |
|---|---|
| Speciality | Psychologist |
| Location | 31 Tanner Street, Haddonfield, New Jersey |
| Authorized Official Name and Position | Paul Booker (DIRECTOR) |
| Authorized Official Contact | 8564287646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Haddonfield Psych Management Pa 31 Tanner Street Haddonfield NJ 08033 Ph: (856) 428-7646 | Haddonfield Psych Management Pa 31 Tanner Street Haddonfield NJ 08033 Ph: (856) 428-7646 |
| NPI Number | 1205903549 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890735864 |
|---|---|
| Medicare Enrollment ID | O20050510000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205903549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Donald K Duffey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437248291 PECOS PAC ID: 7214987221 Enrollment ID: I20050127000524 |
| Provider Name | Paul C Booker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811086663 PECOS PAC ID: 4284672171 Enrollment ID: I20050421000090 |
| Provider Name | Bruce T Banford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528157377 PECOS PAC ID: 7113965971 Enrollment ID: I20050421000821 |
| Provider Name | Melissa C Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861581613 PECOS PAC ID: 3577604800 Enrollment ID: I20100108000836 |
| Provider Name | Jill F Guggenheim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457632549 PECOS PAC ID: 7719317825 Enrollment ID: I20200413002664 |
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Haddonfield Psychiatric Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 31 Tanner St, Haddonfield, NJ 08033 Phone: 856-428-7646 | |
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