Provider Demographics
NPI:1083746531
Name:MCGOVERN, FRANCIS J (PHD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:MCGOVERN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:382 DOVER CHESTER ROAD
Mailing Address - City:IRONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07845-0028
Mailing Address - Country:US
Mailing Address - Phone:973-584-3613
Mailing Address - Fax:908-813-3243
Practice Address - Street 1:24 PARKVIEW RD
Practice Address - Street 2:AFFILIATED PSYCHOTHERAPISTS
Practice Address - City:LONG VALLEY
Practice Address - State:NJ
Practice Address - Zip Code:07853-3585
Practice Address - Country:US
Practice Address - Phone:908-852-1324
Practice Address - Fax:908-813-3243
Is Sole Proprietor?:No
Enumeration Date:2007-03-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100252300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist