Rowan Integrated Special Needs Bh
Psychologist in Sewell, NJ. Organization (NPI-2).
NPI number1669964185
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1669964185
- Entity type
- Organization (NPI-2)
- Legal business name
- Rowan Integrated Special Needs Bh
- Organization subpart
- Yes
- Enumeration date
- May 31, 2018
- Certification date
- Dec 5, 2022
- Last updated
- Dec 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
550 Salina RdSewell, NJ 08080-4111
Phone 856-566-6034 · Fax 856-566-6208
Mailing address
Po Box 71356Philadelphia, PA 19176-1356
Authorized official
Keliyvette Workman
Director Of Managed Care & Contract
8565666831
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