| Letitia Pickel, Llc | |
|
1314 Hooper Ave Toms River NJ 08753-2586 | |
| (609) 991-1222 | |
| Not Available |
| Full Name | Letitia Pickel, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1314 Hooper Ave, Toms River, New Jersey |
| Authorized Official Name and Position | Letitia Pickel (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6099911222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Letitia Pickel, Llc 151 Topsail Ln Manahawkin NJ 08050-2048 Ph: (609) 661-3901 | Letitia Pickel, Llc 1314 Hooper Ave Toms River NJ 08753-2586 Ph: (609) 991-1222 |
| NPI Number | 1447739842 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Medicare PECOS PAC ID | 0143579854 |
|---|---|
| Medicare Enrollment ID | O20180814000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447739842 | NPI | - | NPPES |
| 1811232945 | Other | NJ | TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35S100584800 (New Jersey) | Primary |
| Provider Name | Letitia A Pickel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811232945 PECOS PAC ID: 5395011142 Enrollment ID: I20171023000527 |
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