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Organization
MOHR ADULT PSYCHOLOGICAL SERVICES CORP
Active
Organization
MOHR ADULT PSYCHOLOGICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MOHR LCSW (PRESIDENT)
(848) 391-5531
Entity
Organization
Contact information
Practice address
1615 PARK AVE, APT 6G, ASBURY PARK, NJ 07712-5281
(848) 391-5531
Mailing address
PO BOX 794, BELMAR, NJ 07719-0794
(848) 391-5531
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04793500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073095
PTAN GROUP
NJ
01
—
1265512479
NPI INDIVIDUAL
NJ
01
—
1881881498
MEDICARE NPI 1881881498 (GROUP)
NJ
Enumeration date
05/29/2015
Last updated
05/29/2015
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