Individual
DR. EILEEN GILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7 E MAIN ST, SUITE 202, MOORESTOWN, NJ 08057-3339
(856) 778-8891
(856) 778-1270
Mailing address
7 E MAIN ST, SUITE 202, MOORESTOWN, NJ 08057-3339
(856) 778-8891
(856) 778-1270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00286900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050632
VALUE OPTIONS
NJ
01
—
100056715001
APS HEALTHCARE
MD
01
—
108614
COVENTRY HEALTH AND LIFE
PA
01
—
47820
CIGNA
NJ
01
—
A354747
BENEFIT CONCEPTS
NJ
Enumeration date
09/20/2006
Last updated
07/08/2007
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