Active NPIIndividual providerSole proprietor

Dr. George W Mcdermott, PHD

Psychologist, Clinical in Brick, New Jersey

NPI Number1073531075
Practice location
115 Princeton Ave, Brick, NJ 08724-4358
Fax
—
Last updated
July 8, 2007

George William Mcdermott is a Psychologist, Clinical based in Brick, NJ. George William Mcdermott practices in Brick, NJ and has the professional credentials of PHD. The NPI Number for George William Mcdermott is 1073531075 and holds a License No. SI03665 (NJ). The current practice location address for George William Mcdermott is 115 Princeton Ave, Brick, NJ 08724-4358 and can be reached out via phone at 732-458-6748.

Provider Profile Details

NPI Number
1073531075
Provider Name
George William Mcdermott
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
115 Princeton Ave, Brick, NJ 08724-4358
Phone Number
732-458-6748
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 17, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 Princeton Ave
Brick, NJ 08724-4358
City
Brick
Zip
08724-4358
Phone Number
732-458-6748
Brick, NJ 08724Get directions →

Provider Business Mailing Address Details

Address
115 Princeton Ave
Brick, NJ 08724-4358
City
Brick
State
NJ
Zip
08724-4358
Phone Number
732-458-6748

License Information

License Number
SI03665
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. George W Mcdermott, PHD?

The NPI number of Dr. George W Mcdermott, PHD is 1073531075. It was assigned on July 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. George W Mcdermott, PHD?

Dr. George W Mcdermott, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number SI03665.

Where does Dr. George W Mcdermott, PHD practice?

The practice location is 115 Princeton Ave, Brick, NJ 08724-4358. The office can be reached at 732-458-6748 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073531075 directly on the NPPES registry website.

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