Healthcare Provider Details

I. General information

NPI: 1699292193
Provider Name (Legal Business Name): NADIMEH H BADAAN, PSY.D., LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2017
Last Update Date: 08/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 ADAMS ST APT 3C
HOBOKEN NJ
07030-8025
US

IV. Provider business mailing address

615 ADAMS ST APT 3C
HOBOKEN NJ
07030-8025
US

V. Phone/Fax

Practice location:
  • Phone: 12015726191
  • Fax:
Mailing address:
  • Phone: 12015726191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number9824
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number022109-1
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5779
License Number StateNJ

VIII. Authorized Official

Name: DR. NADIMEH HANI BADAAN
Title or Position: OWNER
Credential: PSY.D.
Phone: 201-572-6191