Provider Demographics
NPI:1598898132
Name:MC BRIDE, ELEANOR M (MA PSYCHOLOGY & EDUC)
Entity Type:Individual
Prefix:MS
First Name:ELEANOR
Middle Name:M
Last Name:MC BRIDE
Suffix:
Gender:F
Credentials:MA PSYCHOLOGY & EDUC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 SUZANNE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH CAPE MAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08204-3464
Mailing Address - Country:US
Mailing Address - Phone:609-889-2747
Mailing Address - Fax:609-465-7196
Practice Address - Street 1:128 CREST HAVEN RD
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1651
Practice Address - Country:US
Practice Address - Phone:609-465-4100
Practice Address - Fax:609-465-7196
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS-3525OtherCERTIFIED SCREENER