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General NPI Number Information
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NPI Number | 1083401921
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Entity Type | Individual
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Provider Name | MARY ELLEN DICATALDO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 466 SOUTHERN BLVD JEFFERSON BUILDING THIRD FLOOR
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City | CHATHAM
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State | NJ
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Zip | 07928
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Country | US
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Telephone | 973-370-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 16 FORDS RD
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City | RANDOLPH
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State | NJ
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Zip | 07869-2146
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Country | US
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Telephone | 973-271-2510
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 243-047
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License Number State | NJ
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