| Marin Integrative Therapy | |
|
82 E Water St Rear Building Toms River NJ 08753-7554 | |
| (908) 910-9353 | |
| Not Available |
| Full Name | Marin Integrative Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 82 E Water St, Toms River, New Jersey |
| Authorized Official Name and Position | Beth S Kane (PARTNER) |
| Authorized Official Contact | 7322442210 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marin Integrative Therapy Po Box 758 Island Heights NJ 08732-0758 Ph: (908) 910-9353 | Marin Integrative Therapy 82 E Water St Rear Building Toms River NJ 08753-7554 Ph: (908) 910-9353 |
| NPI Number | 1609200542 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 08/01/2014 |
| Medicare PECOS PAC ID | 0042446676 |
|---|---|
| Medicare Enrollment ID | O20131204000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609200542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kevin M Kane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750668687 PECOS PAC ID: 8123049376 Enrollment ID: I20051223000143 |
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