| Sp White Psychological Services, Llc | |
|
Teletherapy - Need Address Private - Toms River NJ 08753-2064 | |
| (732) 573-4282 | |
| Not Available |
| Full Name | Sp White Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | Teletherapy - Need Address Private -, Toms River, New Jersey |
| Authorized Official Name and Position | Susan Polkowski White (PSYCHOLOGIST) |
| Authorized Official Contact | 7325734282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sp White Psychological Services, Llc 348 Estate Point Rd Toms River NJ 08753-2064 Ph: (732) 573-4282 | Sp White Psychological Services, Llc Teletherapy - Need Address Private - Toms River NJ 08753-2064 Ph: (732) 573-4282 |
| NPI Number | 1811526288 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Medicare PECOS PAC ID | 0941622310 |
|---|---|
| Medicare Enrollment ID | O20200612002087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811526288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Susan P White |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043853161 PECOS PAC ID: 6002249158 Enrollment ID: I20191204001959 |
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