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Contact Information

RAYDIAN HEALTH LLC
33 COLUMBUS AVE
LAKEWOOD TOWNSHIP, NJ08701-3052
 Phone: 732-705-6315
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Adult Development & Aging

103TA0700X 62 Psychologist, Clinical
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RAYDIAN HEALTH LLC · (Female)

NPI # 1215764675
Status Active
Credentials
Entity Individual
Enumeration date 09/18/2024
Last updated 09/18/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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