Psyche Revive LLC
NPI #1376219402 in Lincroft, New Jersey
Provider Information
- NPI Number
- 1376219402
- Entity Type
- Organization
- Organization Name
- Psyche Revive LLC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 18, 2021
- Last Updated
- Aug 18, 2021
Practice Location
- Address
- 4 SWIMMING RIVER RD STE 101
- City
- Lincroft
- State
- New Jersey
- ZIP Code
- 07738-1727
- Phone
- (646) 708-3846
Authorized Official
- Name
- DR. STEPHEN JAEGER, MD
- Title
- FOUNDING PHYSICIAN
- Phone
- (347) 721-5590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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