| Junction Therapy Llc | |
|
826 Alexander Rd Rm 106 Princeton NJ 08540-6326 | |
| (609) 285-3424 | |
| Not Available |
| Full Name | Junction Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 826 Alexander Rd Rm 106, Princeton, New Jersey |
| Authorized Official Name and Position | Dale Bromberg (THERAPIST/SOLE MBR) |
| Authorized Official Contact | 6092853424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Junction Therapy Llc Po Box 694 Princeton Junction NJ 08550-0694 Ph: (609) 285-3424 | Junction Therapy Llc 826 Alexander Rd Rm 106 Princeton NJ 08540-6326 Ph: (609) 285-3424 |
| NPI Number | 1366075285 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Medicare PECOS PAC ID | 9638590771 |
|---|---|
| Medicare Enrollment ID | O20200528001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366075285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dale Bromberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710184981 PECOS PAC ID: 1951684539 Enrollment ID: I20170206000240 |
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