institution
Elizabeth R Johannes Phd
Mental Health Clinic/Center (Including Community Mental Health Center) in Madison, New Jersey
NPI 1043736515

Elizabeth R Johannes Phd is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lincoln Park, NJ and is specialized in Mental Health (Including Community Mental Health Center). Elizabeth R Johannes Phd practices in Madison, NJ. The NPI Number for Elizabeth R Johannes Phd is 1043736515 and holds a License No. 44SC05654600 (New Jersey).

The current practice location address for Elizabeth R Johannes Phd is 37 Kings Rd Ste 201, Madison, NJ and can be reached out via phone at 862-226-7285 and via fax at 973-628-4807.

Location: 37 Kings Rd Ste 201, Madison, NJ, 07035-1918
institution
Provider Profile Details
NPI Number
1043736515
Provider Name
Elizabeth R Johannes Phd
Credential
Provider Entity Type
Organization
Address
37 Kings Rd Ste 201, Madison, NJ, 07035-1918
Phone Number
862-226-7285
Fax Number
973-628-4807
Provider Enumeration Date
08/16/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669844262 01 NJ NATIONAL PROVIDER IDENTIFICATION 1
institution
Provider Business Practice Location Address Details
Address
37 Kings Rd Ste 201
City
State
Zip
07940-2500
Phone Number
862-226-7285
Fax Number
973-628-4807
person
Provider Business Mailing Address Details
Address
37 Kings Rd Ste 201
City
State
Zip
07940-2500
Phone Number
862-226-7285
Fax Number
973-628-4807
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
44SC05654600 (New Jersey)
Definition
Definition to come...
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