| Laura Shwahla | |
|
12 Roszel Rd Ste C202 Princeton NJ 08540 | |
| (609) 510-8848 | |
| Not Available |
| Full Name | Laura Shwahla |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12 Roszel Rd Ste C202, Princeton, New Jersey |
| Authorized Official Name and Position | Laura Shwahla (MEMBER) |
| Authorized Official Contact | 6095108848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Shwahla 12 Roszel Rd Ste C202 Princeton NJ 08540-6250 Ph: (609) 510-8848 | Laura Shwahla 12 Roszel Rd Ste C202 Princeton NJ 08540 Ph: (609) 510-8848 |
| NPI Number | 1053641050 |
|---|---|
| Provider Enumeration Date | 01/13/2010 |
| Last Update Date | 03/08/2019 |
| Medicare PECOS PAC ID | 5193868735 |
|---|---|
| Medicare Enrollment ID | O20100204000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053641050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05297400 (New Jersey) | Primary |
| Provider Name | Laura L Shwahla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003098492 PECOS PAC ID: 5395888937 Enrollment ID: I20100204000818 |
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