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Contact Information

CARA CHURCH, PHD LLC
255 SHORE DR
#7
HIGHLANDS, NJ07732-1568
 Phone: 732-856-3166
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CARA CHURCH, PHD LLC

NPI Number 1598202863
LBN Legal business name CARA CHURCH, PHD LLC
Authorized official CARA CHURCH - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2017
Last updated 01/25/2017 - About 9 years ago
Identifiers
NJ License # 35S100566400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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