Provider Demographics
NPI:1881635233
Name:CENTER FOR PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:CENTER FOR PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:INEZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AVANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-431-9200
Mailing Address - Street 1:491 AMWELL RD
Mailing Address - Street 2:BLDG 1 - SUITE 103
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-8212
Mailing Address - Country:US
Mailing Address - Phone:908-431-9200
Mailing Address - Fax:908-431-9205
Practice Address - Street 1:491 AMWELL RD
Practice Address - Street 2:BLDG 1 - SUITE 103
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-8212
Practice Address - Country:US
Practice Address - Phone:908-431-9200
Practice Address - Fax:908-431-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty