NPI Profile for Dr GERALD D MINGIN JR in SOUTHAMPTON TOWNSHIP, NJ.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
School |
1041S0200X | |||
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Exercise & Sports |
103TE1100X | 62 | Psychologist, Clinical |
| NPI Number | 1508348863 |
|
| Status | Active | |
| Credentials | PH.D. & PSY.D. | |
| Entity | Individual | |
| Enumeration date | 09/04/2018 | |
| Last updated | 09/04/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GERALD D MINGIN JR
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