| Wisdom Spring Wellness Services | |
|
2191 Morris Ave Union NJ 07083-5927 | |
| (732) 595-7478 | |
| (732) 453-6200 |
| Full Name | Wisdom Spring Wellness Services |
|---|---|
| Speciality | Psychologist |
| Location | 2191 Morris Ave, Union, New Jersey |
| Authorized Official Name and Position | Ruben Lambert (PSYCHOLOGIST / OWNER) |
| Authorized Official Contact | 9083779942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wisdom Spring Wellness Services 2191 Morris Ave Union NJ 07083-5927 Ph: (732) 595-7478 | Wisdom Spring Wellness Services 2191 Morris Ave Union NJ 07083-5927 Ph: (732) 595-7478 |
| NPI Number | 1104377803 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Medicare PECOS PAC ID | 6305126285 |
|---|---|
| Medicare Enrollment ID | O20161212000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104377803 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ruben Lambert |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538618822 PECOS PAC ID: 7113207093 Enrollment ID: I20161212001854 |
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