Shore Psychological Healthcare Llc in Brick - Clinical
Shore Psychological Healthcare Llc - NPI 1477563534
Shore Psychological Healthcare Llc is a Clinical in Brick, New Jersey. Shore Psychological Healthcare Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shore Psychological Healthcare Llc is 1477563534. The last update date is 2022-05-28.
Shore Psychological Healthcare Llc's current location address is 220 Jack Martin Boulvard, Brick, New Jersey. You can contact this provider via phone number 7329203434 and fax number 7329202447. The mailing address for Shore Psychological Healthcare Llc is 220 Jack Martin Boulvard, Brick, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shore Psychological Healthcare Llc |
|---|---|
| Address | 220 Jack Martin Boulvard, Brick, New Jersey |
| Phone Number | 7329203434 |
| Fax Number | 7329202447 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Keane C. Kristine |
| Credentials | PSY.D. |
| Telephone Number | 7329203434 |
NPI Number Detail
| NPI Number | 1477563534 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2022-05-28 |
Provider Mailing Address Detail
| Address | 220 Jack Martin Boulvard |
|---|---|
| City | Brick |
| State | New Jersey (NJ) |
| Post Code | 8724 |
| Phone Number | 7329203434 |
| Fax Number | 7329202447 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4245 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Shore Psychological Healthcare Llc by the Centers for Medicare & Medicaid Services?
The Shore Psychological Healthcare Llc has been assigned the NPI (National Provider Identifier) 1477563534. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shore Psychological Healthcare Llc is physically located?
The Shore Psychological Healthcare Llc is physically situated at the following address: 220 Jack Martin Boulvard, Brick, NJ, 8724.
What is the Shore Psychological Healthcare Llc's area of specialization and corresponding taxonomy classification?
The Shore Psychological Healthcare Llc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Shore Psychological Healthcare Llc's 1477563534 issued?
The Shore Psychological Healthcare Llc's 1477563534 was issued on 2006-08-09.
As of what date were the details pertaining to Shore Psychological Healthcare Llc last refreshed?
The information related to the Shore Psychological Healthcare Llc, including its address, specialty, and other relevant details, was last updated on 2022-05-28.
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