Organization · Type 2 NPI
Clinical Specialist, LLC
Psychiatric/Mental Health Nurse Practitioner · Pleasantville, NJ
NPI number
1366908303
Active
Practice location
1420 S New Rd
Pleasantville, NJ 08232-3728
Fax (609) 939-3671
Other practice locations
- 305 Sanderling Ln, Pleasantville, NJ 08232-2902 · (609) 568-0305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Primary Care Clinic/Center | 261QP2300X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
About NPI 1366908303
Clinical Specialist, LLC's National Provider Identifier is 1366908303, issued on Feb 14, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Pleasantville, NJ. The record was last updated on May 20, 2022.