| Onlinepsychdoc, LLC | |
|
725 River Rd Ste 32-158 Edgewater NJ 07020-1171 | |
| (201) 255-4001 | |
| Not Available |
| Full Name | Onlinepsychdoc, LLC |
|---|---|
| Speciality | Psychologist - Adult Development & Aging |
| Location | 725 River Rd Ste 32-158, Edgewater, New Jersey |
| Authorized Official Name and Position | Elvia Valencia (OWNER) |
| Authorized Official Contact | 2012554001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Onlinepsychdoc, LLC 725 River Rd Ste 32-158 Edgewater NJ 07020-1171 Ph: (201) 255-4001 | Onlinepsychdoc, LLC 725 River Rd Ste 32-158 Edgewater NJ 07020-1171 Ph: (201) 255-4001 |
| NPI Number | 1467091124 |
|---|---|
| Provider Enumeration Date | 12/30/2019 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467091124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | () | Primary |
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