| Two Rivers Evaluation Services | |
|
331 Newman Springs Rd Bldg. 1 4th Fl. Suite 143 Red Bank NJ 07701-5688 | |
| (866) 784-1276 | |
| (866) 784-1276 |
| Full Name | Two Rivers Evaluation Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 331 Newman Springs Rd, Red Bank, New Jersey |
| Authorized Official Name and Position | Martha Isobel Luczak (MANAGING DIRECTOR) |
| Authorized Official Contact | 8667841276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Two Rivers Evaluation Services 331 Newman Springs Rd Bldg. 1 4th Fl. Suite 143 Red Bank NJ 07701-5688 Ph: (866) 784-1276 | Two Rivers Evaluation Services 331 Newman Springs Rd Bldg. 1 4th Fl. Suite 143 Red Bank NJ 07701-5688 Ph: (866) 784-1276 |
| NPI Number | 1104166289 |
|---|---|
| Provider Enumeration Date | 02/26/2013 |
| Last Update Date | 07/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104166289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 37PC00353500 (New Jersey) | Primary |
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