Individual
DR. GEORGE WILLIAM MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
115 PRINCETON AVE, BRICK, NJ 08724-4358
(732) 458-6748
Mailing address
115 PRINCETON AVE, BRICK, NJ 08724-4358
(732) 458-6748
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SI03665
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007452233
AETNA
NJ
01
—
1080175
BC/BS OF NJ
NJ
01
—
35S100366500
LICENSE
NJ
05
—
7769008
—
NJ
01
—
P3304352
OXFORD INSURANCE
NJ
01
—
V397H1
EMPIRE BC/BS
NJ
Enumeration date
07/17/2006
Last updated
07/08/2007
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