Mohr Adult Psychological Services Corp | |
1615 Park Ave Apt 6g Asbury Park NJ 07712-5281 | |
(848) 391-5531 | |
Not Available |
Full Name | Mohr Adult Psychological Services Corp |
---|---|
Speciality | Social Worker - Clinical |
Location | 1615 Park Ave, Asbury Park, New Jersey |
Authorized Official Name and Position | Susan Mohr (PRESIDENT) |
Authorized Official Contact | 8483915531 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mohr Adult Psychological Services Corp Po Box 794 Belmar NJ 07719-0794 Ph: (848) 391-5531 | Mohr Adult Psychological Services Corp 1615 Park Ave Apt 6g Asbury Park NJ 07712-5281 Ph: (848) 391-5531 |
NPI Number | 1821477381 |
---|---|
Provider Enumeration Date | 05/29/2015 |
Last Update Date | 05/29/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821477381 | NPI | - | NPPES |
1265512479 | Other | NJ | NPI INDIVIDUAL |
1881881498 | Other | NJ | MEDICARE NPI 1881881498 (GROUP) |
073095 | Other | NJ | PTAN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 44SC04793500 (New Jersey) | Primary |
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