SHORE THERAPY NPI 1134309149

NPI Information

NPI: 1134309149
Provider Name: SHORE THERAPY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
310 CHRIS GAUPP DR STE 105
GALLOWAY, NJ
ZIP 08205
Phone: (609) 652-4040
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SHORE THERAPY is a mental health counselor in Galloway, NJ. SHORE THERAPY NPI is 1134309149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 CHRIS GAUPP DR STE 105
GALLOWAY, NJ
ZIP 08205-461
Phone: (609) 652-4040

The provider's authorized official is Jennifer Kuzminski .
The authorized official title is Office Manager and has the following contact phone number (856) 857-9500.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 11/7/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	25MA04236100	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	734532	MEDICARE PIN	NEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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