Healthcare Provider Details

I. General information

NPI: 1659194298
Provider Name (Legal Business Name): SPECTOR PSYCHIATRY & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 KINGS HWY N STE 203
CHERRY HILL NJ
08034-1013
US

IV. Provider business mailing address

385 KINGS HWY N STE 203
CHERRY HILL NJ
08034-1013
US

V. Phone/Fax

Practice location:
  • Phone: 609-506-1498
  • Fax: 609-690-2037
Mailing address:
  • Phone: 609-506-1498
  • Fax: 609-690-2037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: AARON Z SPECTOR
Title or Position: OWNER
Credential: APN
Phone: 609-506-1498