Provider Demographics
NPI:1336746189
Name:MOORESTOWN INTEGRATIVE WELLNESS INC.
Entity type:Organization
Organization Name:MOORESTOWN INTEGRATIVE WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ HEALTH PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:KURZYNA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:732-404-7323
Mailing Address - Street 1:8 WILKINS STATION RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-9659
Mailing Address - Country:US
Mailing Address - Phone:732-404-7323
Mailing Address - Fax:
Practice Address - Street 1:505 S LENOLA RD STE 210
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1549
Practice Address - Country:US
Practice Address - Phone:732-404-7323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealthGroup - Single Specialty