Organization
JOHN J. COLYAR, JR., PH.D.
Active
Other names
Merchantville Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOSEPH COLYAR JR. PH.D. (OWNER/LICENSED PSYCHOLOGIST)
(856) 661-0324
Entity
Organization
Contact information
Practice address
109 W MAPLE AVE, MERCHANTVILLE, NJ 08109-2038
(856) 661-0324
Mailing address
109 W MAPLE AVE, MERCHANTVILLE, NJ 08109-2038
(856) 661-0324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
SI02758
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6834906
—
NJ
01
—
ME002361
MEDICARE GROUP NUMBER
NJ
Enumeration date
08/10/2007
Last updated
09/21/2007
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