| Select Psychological Services, LLC | |
|
205 N Franklin Tpke Ramsey NJ 07446-1630 | |
| (201) 327-7755 | |
| (201) 461-0089 |
| Full Name | Select Psychological Services, LLC |
|---|---|
| Speciality | Psychologist |
| Location | 205 N Franklin Tpke, Ramsey, New Jersey |
| Authorized Official Name and Position | Dennis Decicco (PSYCHOLOGIST) |
| Authorized Official Contact | 2013277755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Select Psychological Services, LLC 205 N Franklin Tpke Ramsey NJ 07446-1630 Ph: (201) 327-7755 | Select Psychological Services, LLC 205 N Franklin Tpke Ramsey NJ 07446-1630 Ph: (201) 327-7755 |
| NPI Number | 1386787612 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 02/06/2018 |
| Medicare PECOS PAC ID | 6507958287 |
|---|---|
| Medicare Enrollment ID | O20070827000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386787612 | NPI | - | NPPES |
| 1396765178 | Other | NJ | PSYCHOLOGIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 3233 (New Jersey) | Primary |
| Provider Name | Dennis Decicco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396765178 PECOS PAC ID: 2163514845 Enrollment ID: I20070827000193 |
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