| Annandale Square Counseling Center, P.c. | |
|
67 Beaver Ave Suite 10 Annandale NJ 08801-3071 | |
| (908) 238-0065 | |
| (908) 238-0067 |
| Full Name | Annandale Square Counseling Center, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 67 Beaver Ave, Annandale, New Jersey |
| Authorized Official Name and Position | Richard Reidar Width (OFFICE MANAGER) |
| Authorized Official Contact | 9088327502 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Annandale Square Counseling Center, P.c. 67 Beaver Ave Suite 10 Annandale NJ 08801-3071 Ph: (908) 238-0065 | Annandale Square Counseling Center, P.c. 67 Beaver Ave Suite 10 Annandale NJ 08801-3071 Ph: (908) 238-0065 |
| NPI Number | 1346438793 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 10/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346438793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 35S100389600 (New Jersey) | Primary |
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