Mcgowan, John R

Mcgowan, John R is an sole proprietor health care provider with primary practice located at 3829 Church Rd , Mount Laurel NJ 08054-1105. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mcgowan, John R can be contacted via phone (856) 222-0783.

Contact Information

Primary practice address
3829 Church Rd Mount Laurel NJ 08054-1105
Fax: (856) 222-9714
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 35S100302200 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35S100302200 New Jersey

Profile Details

NPI number 1801991658
LBN Legal business name Mcgowan, John R
Credentials PH. D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Apr 22nd, 2009 - about 15 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 1801991658 NPPES
New Jersey MEDICAID 7791402

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