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NPI Code Detail

MEDICARE: MS. MARY BETH KNEIS MSW

MEDICARE:  MS. MARY BETH  KNEIS  MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor44SC04855300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P263017OTHERNJOXFORD

General Provider Information

NPI Number : 1982722591
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY BETH KNEIS MSW
Provider Business Mailing Address
First Line : 13 MAIN ST STE 4
Second Line :
City : SPARTA
State : NJ
Zip : 07871-1933
Country : US
Telephone Number : 973-729-9167
Fax Number : 973-729-9187
Provider Business Practice Location Address
First Line : 13 MAIN ST STE 4
Second Line :
City : SPARTA
State : NJ
Zip : 07871-1933
Country : US
Telephone Number : 973-729-9167
Fax Number : 973-729-9187
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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Directions to “ MS. MARY BETH KNEIS MSW” Practice Location

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