Active NPIIndividual provider

Glenn R Candeletti, PHD

Psychologist in Forked River, New Jersey

NPI Number1578655122
Practice location
535 Lacey RD, Suite 6, Forked River, NJ 08731-1533
Fax
—
Last updated
July 8, 2007

Glenn R. Candeletti is a Psychologist based in Forked River, NJ. Glenn R. Candeletti practices in Forked River, NJ and has the professional credentials of PHD. The NPI Number for Glenn R. Candeletti is 1578655122 and holds a License No. 35SI00202900 (NJ). The current practice location address for Glenn R. Candeletti is 535 Lacey RD, Suite 6, Forked River, NJ 08731-1533 and can be reached out via phone at 609-693-7903.

Provider Profile Details

NPI Number
1578655122
Provider Name
Glenn R. Candeletti
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
535 Lacey RD, Suite 6, Forked River, NJ 08731-1533
Phone Number
609-693-7903
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
September 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
535 Lacey RD
Suite 6
Forked River, NJ 08731-1533
Zip
08731-1533
Phone Number
609-693-7903
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
535 Lacey RD
Suite 6
Forked River, NJ 08731-1533
City
Forked River
State
NJ
Zip
08731-1533
Phone Number
609-693-7903

License Information

License Number
35SI00202900
License State
NJ
Taxonomy
Psychologist · 103T00000X · 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 Glenn R Candeletti, PHD?

The NPI number of Glenn R Candeletti, PHD is 1578655122. It was assigned on September 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Glenn R Candeletti, PHD?

Glenn R Candeletti, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in NJ under license number 35SI00202900.

Where does Glenn R Candeletti, PHD practice?

The practice location is 535 Lacey RD, Suite 6, Forked River, NJ 08731-1533. The office can be reached at 609-693-7903 (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 1578655122 directly on the NPPES registry website.

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