Versella, Mark Vincent
Versella, Mark Vincent is an individual health care provider with primary practice located at 317 George St , New Brunswick NJ 08901-2008. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Cognitive & Behavioral is his primary health care specialty. Versella, Mark Vincent can be contacted via phone (732) 235-8993.Contact Information
Primary practice address
317 George St
New Brunswick NJ 08901-2008
Phone: (732) 235-8993
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | PS019662 | Pennsylvania |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 35SI00687800 | New Jersey |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 35SI00687800 | New Jersey |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | PS019662 | Pennsylvania |
Profile Details
| NPI number | 1568180958 |
|---|---|
| LBN Legal business name | Versella, Mark Vincent |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2022 |
| Last updated | May 17th, 2024 - about last year |
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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