MEDICARE: DR. DELRITA HUNTER ABERCROMBIE PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	5224	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134244411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DELRITA HUNTER ABERCROMBIE PH.D.

Provider Business Mailing Address
First Line	:	115 PROSPECT PARK W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-3710
Country	:	US
Telephone Number	:	347-799-4339
Fax Number	:	718-517-4627

Provider Business Practice Location Address
First Line	:	185 WASHINGTON PARK
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11205-4007
Country	:	US
Telephone Number	:	347-799-4339
Fax Number	:	347-517-4627

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	10/22/2013

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