Provider Demographics
NPI:1417437484
Name:MULLICA HILL PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:MULLICA HILL PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:RUFUS
Authorized Official - Last Name:MORACA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:609-903-7747
Mailing Address - Street 1:3 MYERS DR STE 11
Mailing Address - Street 2:
Mailing Address - City:MULLICA HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08062-9511
Mailing Address - Country:US
Mailing Address - Phone:609-903-7747
Mailing Address - Fax:
Practice Address - Street 1:3 MYERS DR STE 11
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-9511
Practice Address - Country:US
Practice Address - Phone:609-903-7747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-18
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty