| Samantha Knocke Llc | |
| 
					76 W Jimmie Leeds Rd Ste 402 Galloway NJ 08205-9400  | |
| (609) 780-6225 | |
| Not Available | 
| Full Name | Samantha Knocke Llc | 
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health | 
| Location | 76 W Jimmie Leeds Rd Ste 402, Galloway, New Jersey | 
| Authorized Official Name and Position | Samantha Knocke (OWNER) | 
| Authorized Official Contact | 6097806225 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Samantha Knocke Llc 5814 Hickory St Mays Landing NJ 08330-3702 Ph: () -  | Samantha Knocke Llc 76 W Jimmie Leeds Rd Ste 402 Galloway NJ 08205-9400 Ph: (609) 780-6225  | 
| NPI Number | 1487165221 | 
|---|---|
| Provider Enumeration Date | 10/19/2017 | 
| Last Update Date | 10/19/2017 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1487165221 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary | 
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