Healthcare Provider Details

I. General information

NPI: 1922929421
Provider Name (Legal Business Name): JULIAN CAFFREY, PSYD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3804 CHURCH RD
MOUNT LAUREL NJ
08054-1106
US

IV. Provider business mailing address

244 BREEDERS CUP DR
CHERRY HILL NJ
08002-4062
US

V. Phone/Fax

Practice location:
  • Phone: 609-490-2224
  • Fax:
Mailing address:
  • Phone: 609-490-2224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TF0200X
TaxonomyForensic Psychologist
License Number
License Number State

VIII. Authorized Official

Name: JULIAN CAFFREY
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 609-490-2224