Mid-Atlantic Mental Health & Wellness Services
Organization Active NPI Clinical Psychologist · Pitman, NJ
NPI 1154866309 · NPPES record last updated Dec 27, 2016
Key facts
- NPI
- 1154866309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 5677 (NJ)
- Legal business name
- MID-ATLANTIC MENTAL HEALTH & WELLNESS SERVICES
- Practice address
- 140 S Broadway
#7
Pitman, NJ 08071-2235 - Phone
- (844) 365-7676
- NPI assigned
- Dec 27, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Ida C Deliberis, PSY.D.
- Title
- Licensed Psychologist/Owner
- Phone
- (609) 805-1901
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 5677 | NJ | Yes |
Addresses
Primary practice location
140 S Broadway
#7
Pitman, NJ 08071-2235
Mailing address
140 S Broadway
#7
Pitman, NJ 08071-2235
Other providers in Pitman, NJ
- Danielle Matteo
- Nicholas Mazza
- Cristina Elizabeth Mazzeo
- Constance Dove Meeks
- Mending Hearts Wellness Center, LLC
- Dean Michael Millard
- Moe Rehab & Sports Performance
- Brynn Ann Morgan
- Larry Myerson
- New Fountain Homecare LLC
All providers in Pitman, NJ · Clinical Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.