Provider Demographics
NPI:1649028440
Name:MONMOUTH PSYCHOLOGICAL CONSULTANTS
Entity type:Organization
Organization Name:MONMOUTH PSYCHOLOGICAL CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAINA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:732-859-2423
Mailing Address - Street 1:2434 LENAPE TRL
Mailing Address - Street 2:
Mailing Address - City:MANASQUAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08736-1605
Mailing Address - Country:US
Mailing Address - Phone:732-859-2423
Mailing Address - Fax:732-223-3721
Practice Address - Street 1:2434 LENAPE TRL
Practice Address - Street 2:
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1605
Practice Address - Country:US
Practice Address - Phone:732-859-2423
Practice Address - Fax:732-223-3721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-08
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)