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
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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