| John O'connor, Psy.d., Llc. | |
|
54 Main St New Egypt NJ 08533-1413 | |
| (609) 758-1237 | |
| (609) 758-7255 |
| Full Name | John O'connor, Psy.d., Llc. |
|---|---|
| Speciality | Psychologist |
| Location | 54 Main St, New Egypt, New Jersey |
| Authorized Official Name and Position | John James Oconnor (MEMBER) |
| Authorized Official Contact | 6097581237 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John O'connor, Psy.d., Llc. Po Box 236 New Egypt NJ 08533-0236 Ph: (609) 758-1237 | John O'connor, Psy.d., Llc. 54 Main St New Egypt NJ 08533-1413 Ph: (609) 758-1237 |
| NPI Number | 1073735502 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/04/2008 |
| Medicare PECOS PAC ID | 0345348165 |
|---|---|
| Medicare Enrollment ID | O20070601000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073735502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35SI00437800 (New Jersey) | Primary |
| Provider Name | John J Oconnor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285742668 PECOS PAC ID: 1951377407 Enrollment ID: I20040907000274 |
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