Comprehensive Psychological And Wellness Center,Llc in Forked River - Prescribing (medical)
Comprehensive Psychological And Wellness Center,Llc - NPI 1821208158
Comprehensive Psychological And Wellness Center,Llc is a Prescribing (medical) in Forked River, New Jersey. Comprehensive Psychological And Wellness Center,Llc practices all healthcare services and medical treatments related to Prescribing (medical). The NPI Number for Comprehensive Psychological And Wellness Center,Llc is 1821208158. The last update date is 2010-03-22.
Comprehensive Psychological And Wellness Center,Llc's current location address is 424 S Main St, Forked River, New Jersey. You can contact this provider via phone number 6096934343. The mailing address for Comprehensive Psychological And Wellness Center,Llc is 424 S Main St, Forked River, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Comprehensive Psychological And Wellness Center,Llc |
|---|---|
| Address | 424 S Main St, Forked River, New Jersey |
| Phone Number | 6096934343 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Granato Marie Lisa |
| Credentials | PSY.D |
| Telephone Number | 6096934343 |
NPI Number Detail
| NPI Number | 1821208158 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2010-03-22 |
Provider Mailing Address Detail
| Address | 424 S Main St |
|---|---|
| City | Forked River |
| State | New Jersey (NJ) |
| Post Code | 87314641 |
| Phone Number | 6096934343 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prescribing (medical) |
|---|---|
| Taxonomy | 103Tp0016X |
| Licence No | 35SI00429000 |
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Definition: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2831657000 | NJ | AMERIHEALTH GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Comprehensive Psychological And Wellness Center,Llc by the Centers for Medicare & Medicaid Services?
The Comprehensive Psychological And Wellness Center,Llc has been issued the NPI (National Provider Identifier) 1821208158 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Comprehensive Psychological And Wellness Center,Llc's facilities are geographically located?
The facilities of Comprehensive Psychological And Wellness Center,Llc are physically situated at the following location: 424 S Main St, Forked River, NJ, 87314641.
What is the Comprehensive Psychological And Wellness Center,Llc's area of specialization and corresponding taxonomy classification?
The Comprehensive Psychological And Wellness Center,Llc's specialty field is Prescribing (medical), and it falls under the taxonomy code 103Tp0016X, which categorizes healthcare providers based on their specialties.
On what date was the 1821208158 assigned to Comprehensive Psychological And Wellness Center,Llc?
The Comprehensive Psychological And Wellness Center,Llc was issued its 1821208158 on 2007-05-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Comprehensive Psychological And Wellness Center,Llc most recently updated or refreshed?
The details pertaining to the Comprehensive Psychological And Wellness Center,Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-03-22.