My Psych Provider LLC
NPI #1730954595 in Rockaway, New Jersey
Provider Information
- NPI Number
- 1730954595
- Entity Type
- Organization
- Organization Name
- My Psych Provider LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Nov 21, 2023
- Last Updated
- Nov 29, 2023
Practice Location
- Address
- 100 ENTERPRISE DR STE 301
- City
- Rockaway
- State
- New Jersey
- ZIP Code
- 07866-2129
- Phone
- (973) 791-9365
Authorized Official
- Name
- SAMUEL OKECHUKWU, APN, PMHNP
- Title
- PSYCHIATRIC NURSE PRACTITIONER
- Phone
- (973) 791-9365
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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