Provider Demographics
NPI:1912869587
Name:GRAND SLAM PSYCHOLOGICAL SERVICES
Entity type:Organization
Organization Name:GRAND SLAM PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCABE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:856-607-2291
Mailing Address - Street 1:32101 PALM CT BLDG 32
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-5200
Mailing Address - Country:US
Mailing Address - Phone:856-607-2291
Mailing Address - Fax:
Practice Address - Street 1:32101 PALM CT
Practice Address - Street 2:
Practice Address - City:LAWRENCE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08648-5200
Practice Address - Country:US
Practice Address - Phone:856-607-2291
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty