Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrative Medicine and Biofeedback Clinic

Organization Clinical Psychologist · NPI 1881742369

Integrative Medicine and Biofeedback Clinic provides Clinical Psychologist services in Mount Laurel, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
7
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Practice location Address checks out

813 E Gate Dr Ste B
Mount Laurel, NJ 08054-1238 Not confirmed with CMS for 18 years — call before visiting
Phone: (856) 222-9965
Fax: (856) 222-9916
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB05189200 (NJ)
Clinical Psychologist Taxonomy 103TC0700X (NJ)
Nutrition Education Nutritionist Taxonomy 133NN1002X
Naturopath Taxonomy 175F00000X
Homeopath Taxonomy 175L00000X
EEG Specialist/Technologist Taxonomy 246ZE0500X
Electroneurodiagnostic Specialist/Technologist Taxonomy 246ZE0600X

Record details

NPI number1881742369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official C. Samuel Verghese — Clinical Director · (856) 222-9965
NPI enumeratedJanuary 8, 2007
Last updated in NPPESSeptember 11, 2008
Mailing address813 E Gate Dr Ste B, Mount Laurel, NJ 08054-1238

Other providers in Mount Laurel