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General NPI Number Information
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NPI Number | 1902115884
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Entity Type | Individual
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Provider Name | JENNIFER WALDRON PSYD
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Gender | Female
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Dates
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Enumeration Date | 09/27/2010
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 32 NASSAU ST STE 410
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City | PRINCETON
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State | NJ
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Zip | 08542-4553
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Country | US
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Telephone | 609-356-6100
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Fax | 609-683-1948
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Provider Business Mailing Address
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Address Line | 8 SPRINGHILL DR
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City | PRINCETON JUNCTION
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State | NJ
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Zip | 08550-5415
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Country | US
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Telephone | 609-356-6100
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 35SI00547500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.008609
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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