| Psychological Services Of Nj Pc | |
|
233 Mount Airy Rd Ste 100 Basking Ridge NJ 07920-2338 | |
| (908) 705-4658 | |
| Not Available |
| Full Name | Psychological Services Of Nj Pc |
|---|---|
| Speciality | Psychologist |
| Location | 233 Mount Airy Rd Ste 100, Basking Ridge, New Jersey |
| Authorized Official Name and Position | Michele Brennan (DIRECTOR) |
| Authorized Official Contact | 9087054658 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Nj Pc 233 Mount Airy Rd Ste 100 Basking Ridge NJ 07920-2338 Ph: (908) 705-4658 | Psychological Services Of Nj Pc 233 Mount Airy Rd Ste 100 Basking Ridge NJ 07920-2338 Ph: (908) 705-4658 |
| NPI Number | 1134638828 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 05/11/2023 |
| Certification Date | 05/11/2023 |
| Medicare PECOS PAC ID | 2769748110 |
|---|---|
| Medicare Enrollment ID | O20171117001306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134638828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 35SI00579400 (New Jersey) | Primary |
| Provider Name | Michele L Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144572199 PECOS PAC ID: 3375815335 Enrollment ID: I20170825001195 |
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