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Organization
GARDEN STATE PSYCHIATRIC ASSOCIATES LLC
Active
Organization
GARDEN STATE PSYCHIATRIC ASSOCIATES LLC
Active
Other names
Garden State Psych
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANT MYERS APN, PMNHP-BC (EXECTIVE MEMBER)
(732) 301-6904
Entity
Organization
Contact information
Practice address
509 MAIN ST STE B, TOMS RIVER, NJ 08753-7402
(732) 301-6904
(563) 276-2001
Mailing address
509 MAIN ST STE B, TOMS RIVER, NJ 08753-7402
(732) 301-6904
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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