Healthcare Provider Details

I. General information

NPI: 1912869587
Provider Name (Legal Business Name): GRAND SLAM PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32101 PALM CT
LAWRENCE TOWNSHIP NJ
08648-5200
US

IV. Provider business mailing address

32101 PALM CT BLDG 32
LAWRENCE TOWNSHIP NJ
08648-5200
US

V. Phone/Fax

Practice location:
  • Phone: 856-607-2291
  • Fax:
Mailing address:
  • Phone: 856-607-2291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELEANOR MCCABE
Title or Position: OWNER
Credential: PH.D.
Phone: 856-607-2291