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NPI Code Detail

MEDICARE: ANNETTE VICARI APPLEHEIMER, PSY.D.,L.L.C.

MEDICARE: ANNETTE VICARI APPLEHEIMER, PSY.D.,L.L.C.
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
1103TC2200XClinical Child & Adolescent Psychologist35S100311300NJ
2103TA0700XAdult Development & Aging Psychologist35S100311300NJ
3103TC0700XClinical Psychologist35S100311300NJ
4103TC1900XCounseling Psychologist35S100311300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23113OTHERNJPSYCHOLOGIST LICENSE

General Provider Information

NPI Number : 1891931317
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANNETTE VICARI APPLEHEIMER, PSY.D.,L.L.C.
Provider Business Mailing Address
First Line : 1101 RICHMOND AVE
Second Line : SUITE 104
City : POINT PLEASANT BEACH
State : NJ
Zip : 08742-3010
Country : US
Telephone Number : 732-701-9860
Fax Number :
Provider Business Practice Location Address
First Line : 1101 RICHMOND AVE
Second Line : SUITE 104
City : POINT PLEASANT BEACH
State : NJ
Zip : 08742-3010
Country : US
Telephone Number : 732-701-9860
Fax Number :
Authorized Official
Title or Position : REGISTERED AGENT
Name : DR. ANNETTE VICARI APPLEHEIMER
Credential : PSY.D.
Telephone Number : 732-701-9860
Provider Enumeration Date : 01/06/2009
Last Update Date : 01/06/2009

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