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Contact Information

GERALD D MINGIN JR, PH.D. & PSY.D.
135 EAYRESTOWN RD. SUITE A
SOUTHAMPTON TOWNSHIP, NJ08055
 Phone: 609-261-1022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

School

1041S0200X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GERALD D MINGIN JR · (Male)

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
  • NJ License # TR18313700243054
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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