Victory Psych Consultation Services
NPI #1124781364 in Blackwood, New Jersey
Provider Information
- NPI Number
- 1124781364
- Entity Type
- Organization
- Organization Name
- Victory Psych Consultation Services
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Oct 14, 2021
- Last Updated
- Jul 25, 2024
Practice Location
- Address
- 188 FRIES MILL RD STE E2
- City
- Blackwood
- State
- New Jersey
- ZIP Code
- 08012-2015
- Phone
- (551) 214-4475
Authorized Official
- Name
- MR. YAHAYA A ANIMASHAUN, APN
- Title
- NURSE PRACTIONER
- Phone
- (908) 247-8768
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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