Individual
DR. MIRIAM AYOUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
495 IRON BRIDGE RD STE 12, FREEHOLD, NJ 07728-5306
(732) 683-2822
Mailing address
4 CRENSHAW CT, MARLBORO, NJ 07746-2710
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
223-026
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831491612
BLUE CROSS BLUE SHIELD, AETNA
NJ
Enumeration date
09/08/2022
Last updated
09/08/2022
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