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NPI Code Detail

MEDICARE: DR. NOA KALDES HEDAYA PH.D.

MEDICARE: DR. NOA KALDES HEDAYA 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
1101YM0800XMental Health Counselor
2103T00000XPsychologistPS019328PA

General Provider Information

NPI Number : 1518081611
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NOA KALDES HEDAYA PH.D.
Provider Business Mailing Address
First Line : 1221 LIMBERLOST LN
Second Line :
City : GLADWYNE
State : PA
Zip : 19035-1410
Country : US
Telephone Number : 310-913-9028
Fax Number :
Provider Business Practice Location Address
First Line : 255 S 17TH ST STE 1008
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-6210
Country : US
Telephone Number : 310-913-9028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2007
Last Update Date : 07/29/2022

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