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Organization
NEXT GENERATION NEUROPSYCHOLOGY, LLC
Active
Organization
NEXT GENERATION NEUROPSYCHOLOGY, LLC
Active
Other names
Next Generation Neuropsychology, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER WEST-GAVIN PSY.D (OWNER)
(856) 818-6822
Entity
Organization
Contact information
Practice address
2301 E EVESHAM RD STE 206, VOORHEES, NJ 08043-4504
(856) 472-6092
Mailing address
2301 E EVESHAM RD STE 206, VOORHEES, NJ 08043-4504
(856) 528-5075
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
NULL
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457483349
SUSAN EDWARDS
—
Enumeration date
09/10/2020
Last updated
01/20/2021
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