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Individual
DR. MONA WELLER BIRK
Active
Individual
DR. MONA WELLER BIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, APN
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
35S100409300
NJ
103TA0700X
Adult Development & Aging Psychologist
35S100409300
NJ
103TC0700X
Clinical Psychologist
35S100409300
NJ
103TC1900X
Counseling Psychologist
35S100409300
NJ
103TF0000X
Family Psychologist
35S100409300
NJ
103TM1800X
Intellectual & Developmental Disabilities Psychologist
35S100409300
NJ
103TR0400X
Rehabilitation Psychologist
35S100409300
NJ
104100000X
Social Worker
44SW00117700
NJ
106H00000X
Marriage & Family Therapist
37F100122400
NJ
163W00000X
Registered Nurse
26NR04510500
NJ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
26NR04510500
NJ
364S00000X
Clinical Nurse Specialist
Primary
26NC04510500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0023850
—
NJ
01
—
016408DBG
MEDICARE ID-CNS-INHEALTH
NJ
01
—
076509APU
MEDICARE ID-PHD-ROSSI
NJ
01
—
076509DBG
MEDICARE ID-PHD-INHEALTH
NJ
01
—
143411APU
MEDICARE ID-CNS-ROSSI
NJ
05
—
4144007
—
NJ
Enumeration date
11/21/2006
Last updated
08/24/2012
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