| Megan Patterson, Llc | |
|
3176 Nj Route 27 Suite 2b Kendall Park NJ 08824 | |
| (347) 349-5618 | |
| Not Available |
| Full Name | Megan Patterson, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3176 Nj Route 27, Kendall Park, New Jersey |
| Authorized Official Name and Position | Megan Patterson (OWNER) |
| Authorized Official Contact | 3473495618 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Patterson, Llc 133 Forest Glen Dr Highland Park NJ 08904-1938 Ph: (207) 233-6144 | Megan Patterson, Llc 3176 Nj Route 27 Suite 2b Kendall Park NJ 08824 Ph: (347) 349-5618 |
| NPI Number | 1639660178 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Medicare PECOS PAC ID | 2860749066 |
|---|---|
| Medicare Enrollment ID | O20180719000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639660178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC05773000 (New Jersey) | Primary |
| Provider Name | Megan Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629576202 PECOS PAC ID: 3779830971 Enrollment ID: I20180719000404 |
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