Provider Demographics
NPI:1912265208
Name:REHWINKEL-MORFE, ANNA MEREDITH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:MEREDITH
Last Name:REHWINKEL-MORFE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:MEREDITH
Other - Last Name:REHWINKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:430 FARNSWORTH AVENUE
Mailing Address - Street 2:
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505
Mailing Address - Country:US
Mailing Address - Phone:609-947-4788
Mailing Address - Fax:
Practice Address - Street 1:430 FARNSWORTH AVENUE
Practice Address - Street 2:
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505
Practice Address - Country:US
Practice Address - Phone:609-947-4788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019535103T00000X
PAPS017285103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist