Basic Information
| Provider Information | |||||||||
| NPI: | 1851890784 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | V MARGARET NEWMAN THERAPEUTIC SERVICES - ALL ABOUT OUR RELATIONSHIPS I | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1457 | ||||||||
| Address2: | |||||||||
| City: | MERCHANTVILLE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081090457 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569522688 | ||||||||
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| Practice Location | |||||||||
| Address1: | 216 HADDON AVE STE 601 | ||||||||
| Address2: | |||||||||
| City: | HADDON TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081082814 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8568540031 | ||||||||
| FaxNumber: | 8569522688 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2018 | ||||||||
| LastUpdateDate: | 02/06/2018 | ||||||||
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| AuthorizedOfficialLastName: | NEWMAN-FREEMAN | ||||||||
| AuthorizedOfficialFirstName: | VALERIE | ||||||||
| AuthorizedOfficialMiddleName: | MARGARET | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 8569522688 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | PHD, LCSW | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.