Organization
PENNSVILLE COUNSELING ASSOCIATES, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUY CARRERE WOODRUFF PHD (MANAGER)
(856) 467-1000
Entity
Organization
Contact information
Practice address
545 BECKETT RD STE 207, SWEDESBORO, NJ 08085-1512
(856) 467-1000
(856) 467-1150
Mailing address
545 BECKETT RD STE 207, SWEDESBORO, NJ 08085-1512
(856) 467-1000
(856) 467-1150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073393
PTAN
NJ
Enumeration date
05/07/2007
Last updated
11/14/2023
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