MARIANNE CLARK PSYD LLC


Address: 3804 Church Rd, Mount Laurel, NJ 08054-1106
Phone: 8622191125

MARIANNE CLARK PSYD LLC (NPI# 1063057610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063057610
Entity Type Organization
Organization Name MARIANNE CLARK PSYD LLC
Practice Address 3804 Church Rd
Mount Laurel
NJ 08054-1106
Practice Telephone 8622191125
Enumeration Date 2019-11-07
Last Update Date 2019-11-07
Authorized Official Name MARIANNE CLARK (PSYCHOLOGIST)
Authorized Official Telephone 8622191125
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NJ 77819307 05

Office Location

Street Address 3804 CHURCH RD
City MOUNT LAUREL
State NJ
Zip Code 08054-1106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235109299 Marianne Clark Psychologist 3804 Church Rd, Mount Laurel, NJ 08054-1106 2006-01-24
1508263724 Mark A. Tarangioli, Psy.d. LLC Psychologist 3804 Church Rd, Mount Laurel, NJ 08054-1106 2014-12-03
1437447661 Morris Ehrenberg, Phd, LLC Psychologist 3804 Church Rd, Mount Laurel, NJ 08054-1106 2011-07-21
1538460043 Sarah Kathryn White Counselor 3804 Church Rd, Mount Laurel, NJ 08054-1106 2010-11-15
1659519668 Edward Rosado Social Worker 3804 Church Rd, Mount Laurel, NJ 08054-1106 2009-01-29
1396903720 William L. Shinefield Psychologist 3804 Church Rd, Mount Laurel, NJ 08054-1106 2008-06-02
1215105234 Patricia Belmont Counselor 3804 Church Rd, Mount Laurel, NJ 08054-1106 2008-02-12
1659582583 Ruth Elizabeth Walker-graham Social Worker 3804 Church Rd, Mount Laurel, NJ 08054-1106 2007-05-24
1609974336 Mark A Tarangioli Psychologist 3804 Church Rd, Mount Laurel, NJ 08054-1106 2006-09-20
1053421115 Craig W Pearl Psychologist 3804 Church Rd, Mount Laurel, NJ 08054-1106 2006-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841837267 Samantha Leafey Behavior Technician 800 Birchfield Dr., 801, Mount Laurel, NJ 08054 2019-12-04
1306403522 A-1 Support Coordination Nj Case Management 1504 Larchmont Place, Mount Laurel, NJ 08054 2019-05-22
1285129080 Lincoln Healthcare of New Jersey, LLC Home Health 309 Fellowship Rd Ste 100, Mount Laurel, NJ 08054 2018-06-25
1295238400 Verus Healthcare, LLC Durable Medical Equipment & Medical Supplies 200 E Park Dr Ste 600a, Mount Laurel, NJ 08054 2018-03-14
1003323387 Wal-mart Stores East Lp Durable Medical Equipment & Medical Supplies 73 Fellowship, Mt Laurel, NJ 08054 2018-01-08
1750893954 Tishanna D Majette Phd Corporation Psychologist 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 2017-10-27
1700304706 Arc of Camden County Essex Lane Supported Living Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 5320 Essex Lane, Mt. Laurel, NJ 08054 2017-08-30
1417472861 Maggie Garin Dietitian, Registered 15000 Midlantic Avenue, Suite 101, Mount Laurel, NJ 08054 2017-08-07
1891225363 New Jersey Lice Treatment LLC Technician, Other 500 Birchfield Dr, Suite 503-a, Mount Laurel, NJ 08054 2017-06-15
1225563927 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 761 Grant Ave, Mt Laurel, NJ 08054 2017-05-01
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770044935 Vb Counseling LLC Clinic/Center 1200 S Church St Ste 7, Mount Laurel, NJ 08054-2936 2019-03-28
1174892046 Twin Oaks Community Services, Inc Clinic/Center 820 Union Mill Rd, Mount Laurel, NJ 08054-9561 2011-12-22
1659847085 Synergistic Psychological Services Clinic/Center 302 Birchfield Dr, Mount Laurel, NJ 08054-4005 2018-10-24
1871975540 Bancroft Clinic/Center 3900 Church Road, Mount Laurel, NJ 08054 2015-06-18

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1326656182 The Calming Place Clinic/Center 30 Pelham Rd, Marlton, NJ 08053-2423 2020-07-17
1043828809 Symbol of Hope Counseling, LLC Clinic/Center 400 Riverview Drive Suite 104, Suite 104, Brielle, NJ 08730-0873 2020-07-17
1013525971 Jrm Psychological Services LLC Clinic/Center 330 Mounts Corner Dr # 211, Freehold, NJ 07728-2558 2020-07-16
1316565575 Aspire Therapy Services LLC Clinic/Center 101 Hudson St Ste 2152, Jersey City, NJ 07302-3907 2020-07-13
1619595915 Cean Mental Wellness Services LLC Clinic/Center 786 King George Rd Ste 2, Fords, NJ 08863-1981 2020-07-13
1982221479 Ramona A Crofoot, LLC Dba Kaleidoscope Transformations Wellness Cent Clinic/Center 371 Lakehurst Rd, Toms River, NJ 08755-7393 2020-06-30
1104440080 Flora Martins Degeorge Clinic/Center Center for Psychotherapy, 215 Ridgedale Av, Florham Park, NJ 07932-0793 2020-06-05
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Competitor

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City MOUNT LAUREL
Zip Code 08054

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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