Healthcare Provider Details

I. General information

NPI: 1538084322
Provider Name (Legal Business Name): SCARLETT ROSE WALDMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2624 N SUGAN RD
NEW HOPE PA
18938-1808
US

IV. Provider business mailing address

2624 N SUGAN RD
NEW HOPE PA
18938-1808
US

V. Phone/Fax

Practice location:
  • Phone: 908-399-2219
  • Fax:
Mailing address:
  • Phone: 908-399-2219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC020452
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: