Amoyal-Pensak, Nicole Rebecca

Amoyal-Pensak, Nicole Rebecca is an individual health care provider with primary practice located at 210 Broad St , Red Bank NJ 07701-2060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Amoyal-Pensak, Nicole Rebecca can be contacted via phone (609) 283-2056.

Contact Information

Primary practice address
210 Broad St Red Bank NJ 07701-2060
Phone: (609) 283-2056
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35SI00568900 New Jersey

Profile Details

NPI number 1487094959
LBN Legal business name Amoyal-Pensak, Nicole Rebecca
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2013
Last updated Feb 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487094959 NPPES
New Jersey Other 1487094959 OUT OF NETWORK

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