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My Psych Provider Llc
Psychiatric/Mental Health Nurse Practitioner in Rockaway, New Jersey
NPI 1730954595

My Psych Provider Llc is a Psychiatric/Mental Health Nurse Practitioner based in Rockaway, NJ and is specialized in Psychiatric/Mental Health. My Psych Provider Llc practices in Rockaway, NJ. The NPI Number for My Psych Provider Llc is 1730954595 and holds a License No. (New Jersey).

The current practice location address for My Psych Provider Llc is 100 Enterprise Dr Ste 301, Rockaway, NJ and can be reached out via phone at 973-791-9365 and via fax at 973-869-2449.

Location: 100 Enterprise Dr Ste 301, Rockaway, NJ, 07866-2129
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730954595
Provider Name
My Psych Provider Llc
Credential
Provider Entity Type
Organization
Address
100 Enterprise Dr Ste 301, Rockaway, NJ, 07866-2129
Phone Number
973-791-9365
Fax Number
973-869-2449
Provider Enumeration Date
11/21/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
100 Enterprise Dr Ste 301
City
Rockaway
State
New Jersey
Zip
07866-2129
Phone Number
973-791-9365
Fax Number
973-869-2449
person
Provider Business Mailing Address Details
Address
100 Enterprise Dr Ste 301
City
Rockaway
State
New Jersey
Zip
07866-2129
Phone Number
973-791-9365
Fax Number
973-869-2449
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
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Definition
Definition to come...
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