| Psylent Victory Llc | |
|
301 Route 9 N Freehold NJ 07728-8562 | |
| (732) 687-6240 | |
| Not Available |
| Full Name | Psylent Victory Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 301 Route 9 N, Freehold, New Jersey |
| Authorized Official Name and Position | Jerald Cilente (OWNER) |
| Authorized Official Contact | 7326876240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psylent Victory Llc 301 Route 9 N Freehold NJ 07728-8562 Ph: (732) 687-6240 | Psylent Victory Llc 301 Route 9 N Freehold NJ 07728-8562 Ph: (732) 687-6240 |
| NPI Number | 1356923254 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 04/21/2021 |
| Certification Date | 04/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356923254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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